Billing code 44141: Partial colectomyMedicare rate & RVUs in Utah
Reports removal of a colon segment with creation of a skin-level cecostomy or colostomy when the remaining bowel is diverted to the abdominal surface.
CMS doesn’t publish an office rate for 44141 in Utah.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 44141 covers
In this open abdominal operation, a surgeon removes part of the colon and brings bowel to the skin to create a cecostomy or colostomy. It may be performed for conditions such as obstructing or perforated colon disease when the operative plan calls for diversion rather than reconnecting the bowel. General and colorectal surgeons typically perform it in a hospital operating room. The operative report should identify the colon segment removed and the type and location of the stoma created.
Report 44141 when the documented operation includes partial colon removal and a skin-level cecostomy or colostomy; a partial colectomy with an anastomosis is a different service. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is not appropriate for this anatomy. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
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.
44141 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $1,638.02 |
How the 44141 rate is calculated
Each of 44141’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 44141
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 29.16Practice expense 14.31Malpractice 7.16
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 44141
44141 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 44141
Partial colectomy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 44141
Partial colectomy
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
44141 without 51 · national facility
$1,691.09
Partial colectomy
44141-51 · Second procedure: 50%
$845.55
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
44141 compared with similar codes
Compare codes
44141 vs 44140 vs 44143 vs 44144: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 44140Partial colectomy
- 44140 applies when the remaining bowel is joined by an anastomosis. Choose 44141 when the operation creates a skin-level cecostomy or colostomy instead.
- 44143Partial colectomy
- 44143 includes an end colostomy with closure of the downstream bowel segment. 44141 describes a skin-level cecostomy or colostomy without that defining configuration.
- 44144Partial colectomy
- 44144 includes creation of a mucous fistula in addition to the colostomy. 44141 does not describe that configuration.
44141 billing questions
When should 44141 be chosen instead of 44140?
Use 44141 when partial colon removal includes creation of a skin-level cecostomy or colostomy. Code 44140 describes partial colectomy with anastomosis.
How does 44141 differ from 44143?
44141 describes a skin-level cecostomy or colostomy. 44143 is used for partial colectomy with an end colostomy and closure of the downstream bowel segment.
Can the stoma creation be billed separately?
The skin-level cecostomy or colostomy is part of the service represented by 44141; it is not a separate procedure to report in addition to this code.
What documentation supports 44141?
The operative report should support removal of part of the colon and creation of a skin-level cecostomy or colostomy, including the stoma type and location.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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