No office rate
Choose 44205 when terminal ileum is removed and the reconstruction connects ileum with colon. This code is for partial colectomy without that specified ileal resection.
On this page
CMS RVU26D · Effective 2026-10-01
44204 Partial colectomy Medicare reimbursement rates in Rhode Island
Reports laparoscopic removal of a colon segment with reconnection of the remaining bowel, selected according to the resection and reconstruction performed. Compare 44204 office and facility rates across CMS payment localities in Rhode Island.
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 44204 in Rhode Island?
Rhode Island has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1420.70
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
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.
Colorectal surgery
About 44204: Laparoscopic partial colectomy with anastomosis
Reports laparoscopic removal of a colon segment with reconnection of the remaining bowel, selected according to the resection and reconstruction performed.
A colorectal or general surgeon uses laparoscopic instruments to remove a diseased portion of the colon and reconnect the remaining bowel. Common clinical settings include resection for colon cancer or complicated diverticular disease. The operative report should identify the colon segment removed and describe the resulting anastomosis; the code is not selected solely from the diagnosis or specimen label.
Choose this service for a partial colon resection with anastomosis that is not one of the separately specified terminal-ileum or colon-to-rectum configurations. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. Assistant-at-surgery services may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 44204
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU25.76 · 61%
- Practice expense (office) RVU10.80 · 26%
- Malpractice RVU5.75 · 14%
10.6K
Medicare services in 2024 · #1442 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.
44204 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
44206 describes a partial colectomy with an end colostomy and closure of the downstream bowel segment, rather than the anastomosis described by this code.
No office rate
44207 is used when the partial colectomy results in a colon-to-rectum anastomosis. Use this code for a partial colectomy with a different anastomosis configuration.
No office rate
44208 specifies a colon-to-rectum anastomosis with colostomy. This code does not identify that combined reconstruction.
Compare 44204 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.
1 of 1 payment localities
Rhode Island →
Office / nonfacility
Unavailable
Facility
$1420.70
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 44204 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
5,368
- Code
- 44204
- Physician work
- 25.76
- Practice expense
- 10.80
- Malpractice
- 5.75
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 25.76 | × 1.019 | 26.2494 |
| Practice expense | 10.80 | × 1.033 | 11.1564 |
| Malpractice | 5.75 | × 0.892 | 5.1290 |
| Total RVUs | 42.5348 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$1420.70
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 25.76 | 1.019 |
| Practice expense | 10.8 | 1.033 |
| Malpractice | 5.75 | 0.892 |
(25.76 × 1.019 + 10.8 × 1.033 + 5.75 × 0.892) × $33.4009 = $1420.70
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
44204 billing questions
How does this differ from 44205?
Use 44205 when the resection includes removal of terminal ileum and an ileocolic connection. This code describes a partial colon resection with anastomosis without that specified configuration.
When is 44213 reported with this procedure?
44213 is an add-on for laparoscopic mobilization of the splenic flexure performed with a qualifying partial colectomy. The operative report should support that the mobilization was performed.
Does the global period include postoperative visits?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be reported?
CMS may pay for an assistant at surgery with this procedure. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What documentation supports this code?
Document the laparoscopic approach, the colon segment resected, and the anastomosis performed. These details distinguish this service from resections involving terminal ileum, a coloproctostomy, or a stoma configuration.
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.
5,36544188,,Lap colostomy,A,,18.87,11.04,NA,11.04,,4.21,34.12,34.12,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,36644202,,Lap enterectomy,A,,22.81,10.19,NA,10.19,,5.59,38.59,38.59,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,36744203,,Lap resect s/intestine addl,A,,4.33,1.07,NA,1.07,,1.07,6.47,6.47,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,36844204,,Laparo partial colectomy,A,,25.76,10.80,NA,10.80,,5.75,42.31,42.31,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,36944205,,Lap colectomy part w/ileum,A,,22.38,9.55,NA,9.55,,4.78,36.71,36.71,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,37044206,,Lap part colectomy w/stoma,A,,29.05,12.31,NA,12.31,,6.56,47.92,47.92,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,37144207,,L colectomy/coloproctostomy,A,,31.12,11.90,NA,11.90,,6.36,49.38,49.38,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537