No office rate
Choose 44210 when the rectum remains. Choose 44211 when the laparoscopic operation includes proctectomy.
On this page
CMS RVU26D · Effective 2026-10-01
44210 Total colectomy Medicare reimbursement rates in Tennessee
Reports laparoscopic removal of the entire colon while retaining the rectum, with an ileostomy or an ileal connection to the rectum. Compare 44210 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 44210 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
$1499.98
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 44210: Laparoscopic total abdominal colectomy with rectum retained
Reports laparoscopic removal of the entire colon while retaining the rectum, with an ileostomy or an ileal connection to the rectum.
A surgeon removes the colon through laparoscopic access while leaving the rectum in place. The reconstruction includes an ileostomy or a connection between the ileum and retained rectum. Colorectal and general surgeons typically perform this operation in a hospital operating room for patients who need removal of the entire colon but do not have the rectum removed. This is distinct from laparoscopic procedures that remove only part of the colon or also remove the rectum.
Report the code when the operative record supports laparoscopic removal of the entire colon, rectal preservation, and the documented reconstruction. 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 other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this anatomy. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 44210
- 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 RVU29.34 · 60%
- Practice expense (office) RVU13.86 · 28%
- Malpractice RVU5.53 · 11%
474
Medicare services in 2024 · #3613 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.
44210 compared with similar codes
Office rates for Tennessee, from the same CMS release.
No office rate
44212 describes laparoscopic total proctocolectomy with a different reconstruction. This code preserves the rectum.
No office rate
44204 is for laparoscopic partial colectomy with anastomosis; this code requires removal of the entire colon.
Compare 44210 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
$1499.98
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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 44210 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
5,373
- Code
- 44210
- Physician work
- 29.34
- Practice expense
- 13.86
- Malpractice
- 5.53
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 29.34 | × 1.000 | 29.3400 |
| Practice expense | 13.86 | × 0.909 | 12.5987 |
| Malpractice | 5.53 | × 0.537 | 2.9696 |
| Total RVUs | 44.9083 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Tennessee$1499.98
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 29.34 | 1 |
| Practice expense | 13.86 | 0.909 |
| Malpractice | 5.53 | 0.537 |
(29.34 × 1 + 13.86 × 0.909 + 5.53 × 0.537) × $33.4009 = $1499.98
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.
44210 billing questions
How does this differ from 44211?
This code describes total abdominal colectomy with the rectum retained. Code 44211 is for a laparoscopic operation that also removes the rectum.
Can this code be reported for a partial colectomy?
No. The operative report must support removal of the entire colon. A laparoscopic partial colectomy is reported with a code matching the resection and reconstruction performed.
What documentation supports this code?
Document laparoscopic approach, removal of the entire colon, whether the rectum was retained, and the resulting ileostomy or ileal-to-rectal connection.
Is modifier 50 appropriate?
No. The anatomy and procedure are not bilateral for Medicare payment purposes.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
5,37044206,,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
5,37244208,,L colectomy/coloproctostomy,A,,33.14,14.10,NA,14.10,,6.71,53.95,53.95,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,37344210,,Laparo total proctocolectomy,A,,29.34,13.86,NA,13.86,,5.53,48.73,48.73,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,37444211,,Lap colectomy w/proctectomy,A,,36.15,16.36,NA,16.36,,5.19,57.70,57.70,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,37544212,,Laparo total proctocolectomy,A,,33.72,16.01,NA,16.01,,6.02,55.75,55.75,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,37644213,,Lap mobil splenic fl add-on,A,,3.41,0.83,NA,0.83,,0.70,4.94,4.94,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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