No office rate
Choose 44360 for diagnostic small-bowel endoscopy without the stent placement represented by 44370.
On this page
CMS RVU26D · Effective 2026-10-01
44370 Small bowel endoscopy Medicare reimbursement rates in Pennsylvania
Reports small-bowel endoscopy when the endoscopist places an intraluminal stent to treat a small-bowel narrowing or obstruction. Compare 44370 office and facility rates across CMS payment localities in Pennsylvania.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 44370 in Pennsylvania?
Pennsylvania has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$229.13–$244.11
2 of 2 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Gastroenterology
About 44370: Small bowel endoscopy with stent placement
Reports small-bowel endoscopy when the endoscopist places an intraluminal stent to treat a small-bowel narrowing or obstruction.
A gastroenterologist or other qualified endoscopist uses an endoscope to reach the small bowel and place a stent within its lumen. A typical clinical purpose is to maintain passage through a narrowed or obstructed segment. The service is generally performed in a facility setting; CMS recorded facility services for this code in 2024 and no office services.
Report the code when the documented endoscopic service includes small-bowel stent placement, rather than diagnostic inspection alone, biopsy, or another therapeutic maneuver. The report should identify the treated small-bowel segment, the indication, and the stent placement. This is a minor procedure with a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. Modifier 50 is inappropriate for this anatomy and descriptor. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 44370
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Endoscopy family pricing applies when related endoscopies are performed together.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.57 · 65%
- Practice expense (office) RVU1.99 · 28%
- Malpractice RVU0.49 · 7%
73
Medicare services in 2024 · #5120 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
44370 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
Choose 44361 when the small-bowel endoscopy includes biopsy rather than stent placement.
No office rate
Both codes are associated with small-bowel stent endoscopy. Compare the actual approach and procedure documented before selecting the code.
Compare 44370 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Metropolitan Philadelphia →
Office / nonfacility
Unavailable
Facility
$244.11
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$229.13
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44370 billing questions
When should this code be selected instead of a diagnostic small-bowel endoscopy code?
Use this code when the endoscopist places an intraluminal stent during the small-bowel endoscopy. Diagnostic inspection without stent placement is represented by a different service.
What documentation supports reporting the stent service?
Document the small-bowel segment treated, the reason for stenting, and that the stent was placed endoscopically. The report should distinguish placement from diagnostic inspection or biopsy alone.
Can modifier 50 be reported for bilateral stent placement?
No. CMS identifies bilateral adjustment as inappropriate for this code because the descriptor or anatomy does not support modifier 50.
How are related endoscopies paid when performed together?
Endoscopy family pricing applies when related endoscopies are performed together. Same-day preoperative and postoperative care is included in this code's 0-day global period.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted for this code.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
5,39344365,,Small bowel endoscopy,A,,3.13,1.34,NA,1.34,,0.35,4.82,4.82,0,000,0.00,0.00,0.00,3,0,0,0,0,9,44360,33.4009,09,0,99,0.00,0.00,0.00
5,39444366,,Small bowel endoscopy,A,,4.19,1.66,NA,1.66,,0.45,6.30,6.30,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44360,33.4009,09,0,99,0.00,0.00,0.00
5,39544369,,Small bowel endoscopy,A,,4.30,1.69,NA,1.69,,0.47,6.46,6.46,0,000,0.00,0.00,0.00,3,0,0,0,0,9,44360,33.4009,09,0,99,0.00,0.00,0.00
5,39644370,,Small bowel endoscopy/stent,A,,4.57,1.99,NA,1.99,,0.49,7.05,7.05,0,000,0.00,0.00,0.00,3,0,0,0,0,9,44360,33.4009,09,0,99,0.00,0.00,0.00
5,39744372,,Small bowel endoscopy,A,,4.19,1.61,NA,1.61,,0.55,6.35,6.35,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44360,33.4009,09,0,99,0.00,0.00,0.00
5,39844373,,Small bowel endoscopy,A,,3.31,1.36,NA,1.36,,0.43,5.10,5.10,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44360,33.4009,09,0,99,0.00,0.00,0.00
5,39944376,,Small bowel endoscopy,A,,5.02,1.88,NA,1.88,,0.54,7.44,7.44,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00