No office rate
44140 includes anastomosis of the remaining bowel. Choose 44141 when the partial colectomy includes creation of a cecostomy or colostomy.
On this page
CMS RVU26D · Effective 2026-10-01
44140 Partial colectomy Medicare reimbursement rates in Tennessee
Reports open removal of part of the colon with reconnection of the remaining bowel, such as for a diseased or obstructed segment. Compare 44140 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 44140 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
$1136.29
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.
Colorectal surgery
About 44140: Open partial colectomy with anastomosis
Reports open removal of part of the colon with reconnection of the remaining bowel, such as for a diseased or obstructed segment.
This service involves open removal of a portion of the colon followed by an anastomosis joining the bowel ends. General and colorectal surgeons commonly perform it in a hospital operating room for conditions such as diverticular disease, a localized colon tumor, or a segment of nonviable bowel. The resected specimen is generally sent for pathology. The operative approach and reconstruction distinguish this service from partial colectomy procedures that create a stoma or use a different anastomosis.
Choose the code from the operative report’s documented resection and reconstruction; it should support removal of a colon segment and anastomosis. The anastomosis is part of the service, not separately reported as a distinct procedure. Medicare applies a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 44140
- 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 RVU22.03 · 59%
- Practice expense (office) RVU10.00 · 27%
- Malpractice RVU5.40 · 14%
9K
Medicare services in 2024 · #1536 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.
44140 compared with similar codes
Office rates for Tennessee, from the same CMS release.
No office rate
44143 describes a partial colectomy with an end colostomy and closure of the distal segment; 44140 describes bowel reconnection.
No office rate
44204 is the laparoscopic counterpart for partial colectomy with anastomosis. 44140 represents the open approach.
Compare 44140 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
$1136.29
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 44140 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
5,348
- Code
- 44140
- Physician work
- 22.03
- Practice expense
- 10.00
- Malpractice
- 5.40
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 22.03 | × 1.000 | 22.0300 |
| Practice expense | 10.00 | × 0.909 | 9.0900 |
| Malpractice | 5.40 | × 0.537 | 2.8998 |
| Total RVUs | 34.0198 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Tennessee$1136.29
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 22.03 | 1 |
| Practice expense | 10 | 0.909 |
| Malpractice | 5.4 | 0.537 |
(22.03 × 1 + 10 × 0.909 + 5.4 × 0.537) × $33.4009 = $1136.29
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.
44140 billing questions
How is this different from 44141?
44140 describes partial colectomy with bowel reconnection. 44141 is selected when the operation creates a cecostomy or colostomy instead.
When would 44143 be more appropriate?
Use 44143 for partial colectomy with an end colostomy and closure of the downstream bowel segment, rather than an anastomosis reconnecting the bowel ends.
Can the anastomosis be billed separately?
No. The bowel reconnection is included in this partial colectomy service.
Should modifier 50 be appended for work on both sides of the colon?
No. The anatomy and service do not support bilateral adjustment or modifier 50.
What documentation supports assistant or co-surgeon billing?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; 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.
5,34544136,,Intestine transplant live,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,34644137,,Remove intestinal allograft,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,34744139,,Mobilization of colon,A,,2.17,0.54,NA,0.54,,0.49,3.20,3.20,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,34844140,,Partial removal of colon,A,,22.03,10.00,NA,10.00,,5.40,37.43,37.43,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,34944141,,Partial removal of colon,A,,29.16,14.31,NA,14.31,,7.16,50.63,50.63,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,35044143,,Partial removal of colon,A,,27.10,12.13,NA,12.13,,6.60,45.83,45.83,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,35144144,,Partial removal of colon,A,,29.16,12.76,NA,12.76,,7.02,48.94,48.94,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,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