No office rate
44055 corrects abnormal intestinal rotation; 44050 describes operative reduction of bowel obstruction. Select based on the work performed, not merely the presence of obstruction.
On this page
CMS RVU26D · Effective 2026-10-01
44055 Malrotation correction Medicare reimbursement rates in Tennessee
Reports operative correction of intestinal malrotation, typically by a Ladd procedure to address abnormal bowel positioning and reduce volvulus risk. Compare 44055 office and facility rates across CMS payment localities in Tennessee.
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 44055 in Tennessee?
Tennessee 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
$1249.59
1 of 1 localities have a supported rate.
Payment area: Tennessee
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.
Digestive surgery
About 44055: Surgical correction of bowel malrotation
Reports operative correction of intestinal malrotation, typically by a Ladd procedure to address abnormal bowel positioning and reduce volvulus risk.
A surgeon, often a pediatric or general surgeon, corrects abnormal intestinal rotation through an abdominal operation. A Ladd procedure typically divides obstructing congenital bands, broadens the base of the mesentery, and arranges the small and large bowel to reduce the risk of twisting. The procedure is generally performed in an operating room when malrotation requires surgical correction, including cases associated with volvulus or obstruction.
Report 44055 for the operative correction of the malrotation, rather than for an operation that only relieves an obstruction without correcting the abnormal rotation. The operative report should establish the malrotation and describe the corrective work performed. CMS assigns a 90-day global period, including 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 payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this anatomy.
CMS billing rules for 44055
- 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 RVU24.99 · 61%
- Practice expense (office) RVU9.92 · 24%
- Malpractice RVU6.34 · 15%
194
Medicare services in 2024 · #4349 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.
44055 compared with similar codes
Office rates for Tennessee, from the same CMS release.
No office rate
44020 describes exploration of the small intestine. It is not a substitute for 44055 when the operation corrects intestinal malrotation.
No office rate
44005 describes freeing bowel adhesions. Adhesiolysis alone does not correct the congenital abnormal rotation described by 44055.
Compare 44055 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
Tennessee →
Office / nonfacility
Unavailable
Facility
$1249.59
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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 44055 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
5,331
- Code
- 44055
- Physician work
- 24.99
- Practice expense
- 9.92
- Malpractice
- 6.34
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 24.99 | × 1.000 | 24.9900 |
| Practice expense | 9.92 | × 0.909 | 9.0173 |
| Malpractice | 6.34 | × 0.537 | 3.4046 |
| Total RVUs | 37.4119 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Tennessee$1249.59
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 24.99 | 1 |
| Practice expense | 9.92 | 0.909 |
| Malpractice | 6.34 | 0.537 |
(24.99 × 1 + 9.92 × 0.909 + 6.34 × 0.537) × $33.4009 = $1249.59
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.
44055 billing questions
When should 44055 be chosen over 44050?
Use 44055 when the operation corrects intestinal malrotation, such as with a Ladd procedure. Code 44050 describes reduction of bowel obstruction; reduction alone does not establish that malrotation was corrected.
Can an appendectomy be reported with 44055?
An appendectomy may be performed during a Ladd procedure. When it is done for an indicated purpose during another major procedure, 44955 may be reported as an add-on; the operative record should support the indication.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Should modifier 50 be used?
No. CMS identifies bilateral adjustment as inappropriate for this code and anatomy.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, while team surgery is not permitted.
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.
5,32844021,,Decompress small bowel,A,,15.90,7.35,NA,7.35,,3.96,27.21,27.21,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,32944025,,Incision of large bowel,A,,16.10,7.50,NA,7.50,,3.93,27.53,27.53,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33044050,,Reduce bowel obstruction,A,,15.13,7.39,NA,7.39,,3.87,26.39,26.39,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33144055,,Correct malrotation of bowel,A,,24.99,9.92,NA,9.92,,6.34,41.25,41.25,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33244100,,Biopsy of bowel,A,,1.96,0.57,NA,0.57,,0.21,2.74,2.74,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33344110,,Excise intestine lesion(s),A,,13.69,7.00,NA,7.00,,3.18,23.87,23.87,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33444111,,Excision of bowel lesion(s),A,,16.11,7.57,NA,7.57,,3.43,27.11,27.11,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780