No office rate
Choose 44110 for one excised intestinal lesion and 44111 when the surgeon excises multiple lesions.
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CMS RVU26D · Effective 2026-10-01
44110 Intestinal excision Medicare reimbursement rates in Texas
Open excision of one intestinal lesion through an enterotomy is reported when the surgeon removes the lesion without segmental bowel resection. Compare 44110 office and facility rates across CMS payment localities in Texas.
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 44110 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
No 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.
Where 44110 pays more and less in Texas
Intestinal surgery
About 44110: Open intestinal lesion excision
Open excision of one intestinal lesion through an enterotomy is reported when the surgeon removes the lesion without segmental bowel resection.
The surgeon opens the bowel through an enterotomy, removes one discrete lesion, and closes the bowel. This open operation may be used for a focal lesion, such as a polyp or localized tumor, that requires surgical excision. It describes removal of the lesion itself rather than removal of a bowel segment.
Report this code when the operative record supports excision of a single lesion. Documentation should identify the bowel site, lesion, and excision performed, and distinguish removal from biopsy or segmental resection. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 44110
- 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 RVU13.69 · 57%
- Practice expense (office) RVU7.00 · 29%
- Malpractice RVU3.18 · 13%
559
Medicare services in 2024 · #3459 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.
44110 compared with similar codes
Office rates for Texas, from the same CMS release.
No office rate
44100 represents intestinal tissue sampling for biopsy; 44110 represents removal of a single lesion.
No office rate
44120 describes small-intestine segmental resection with anastomosis. Use 44110 when the surgeon excises the lesion without removing a bowel segment.
No office rate
44140 describes partial colon removal. It is distinct from focal intestinal lesion excision through an enterotomy.
Compare 44110 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office Unavailable | Facility $799.65 |
| Beaumont | Office Unavailable | Facility $768.70 |
| Brazoria | Office Unavailable | Facility $775.47 |
| Dallas | Office Unavailable | Facility $785.38 |
| Fort Worth | Office Unavailable | Facility $784.42 |
| Galveston | Office Unavailable | Facility $781.03 |
| Houston | Office Unavailable | Facility $839.24 |
| Rest Of Texas | Office Unavailable | Facility $775.05 |
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44110 billing questions
How does 44110 differ from 44111?
44110 is for excision of a single intestinal lesion. Use 44111 when the surgeon excises multiple lesions.
When is excision reported instead of an intestinal biopsy?
Report 44110 when the surgeon removes the lesion, rather than sampling tissue for diagnosis. A biopsy code such as 44100 describes sampling, not lesion excision.
Does 44110 include removal of a bowel segment?
No. It describes lesion excision through an enterotomy; when the surgeon removes a bowel segment, consider the applicable resection code, such as 44120 for small-intestine resection.
Should modifier 50 be appended for lesions on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code. The operative report should document the lesion excised and its bowel site.
What surgical-assistance rules apply?
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.
5,33044050,,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
5,33544120,,Removal of small intestine,A,,20.30,8.62,NA,8.62,,5.10,34.02,34.02,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33644121,,Removal of small intestine,A,,4.33,1.08,NA,1.08,,1.07,6.48,6.48,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00