No office rate
44202 reports the primary laparoscopic small-bowel resection and anastomosis. Use 44203 only for additional resection-and-anastomosis work in the same operative session.
On this page
CMS RVU26D · Effective 2026-10-01
44203 Small bowel resection Medicare reimbursement rates in Utah
Report 44203 for each additional laparoscopic small-intestine resection with anastomosis beyond the primary resection, together with 44202. Compare 44203 office and facility rates across CMS payment localities in Utah.
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 44203 in Utah?
Utah 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
$210.31
1 of 1 localities have a supported rate.
Payment area: Utah
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.
Intestinal surgery
About 44203: Additional laparoscopic small bowel resection
Report 44203 for each additional laparoscopic small-intestine resection with anastomosis beyond the primary resection, together with 44202.
Code 44203 captures an additional laparoscopic resection and reconnection of small intestine during the same operative session as the primary small-bowel resection. Multiple separate diseased segments, such as skip areas of Crohn disease or separate ischemic segments, may require additional resections and anastomoses. General and colorectal surgeons typically perform this work in an operating room using laparoscopic access.
Report 44203 only with the primary procedure, 44202. Count additional resection-and-anastomosis work, not the length of bowel removed or the number of pathology specimens. The operative report should identify the laparoscopic approach and describe each additional small-bowel segment resected and reconstructed. CMS classifies 44203 as an add-on code: it is billed only with a primary procedure, and payment is within that procedure’s global period.
CMS billing rules for 44203
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU4.33 · 67%
- Practice expense (office) RVU1.07 · 17%
- Malpractice RVU1.07 · 17%
159
Medicare services in 2024 · #4517 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.
44203 compared with similar codes
Office rates for Utah, from the same CMS release.
No office rate
44121 describes additional small-intestine resection and anastomosis using an open approach. Code 44203 is for additional work performed laparoscopically.
No office rate
44204 concerns laparoscopic partial colectomy involving the large intestine. Code 44203 applies to additional small-intestine resection and anastomosis.
Compare 44203 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
Utah →
Office / nonfacility
Unavailable
Facility
$210.31
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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 44203 in Utah.
PPRRVU2026_Oct_nonQPP.csv
5,367
- Code
- 44203
- Physician work
- 4.33
- Practice expense
- 1.07
- Malpractice
- 1.07
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.33 | × 1.000 | 4.3300 |
| Practice expense | 1.07 | × 0.940 | 1.0058 |
| Malpractice | 1.07 | × 0.898 | 0.9609 |
| Total RVUs | 6.2967 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$210.31
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.33 | 1 |
| Practice expense | 1.07 | 0.94 |
| Malpractice | 1.07 | 0.898 |
(4.33 × 1 + 1.07 × 0.94 + 1.07 × 0.898) × $33.4009 = $210.31
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.
44203 billing questions
When is 44203 reported instead of 44202?
44202 represents the primary laparoscopic small-bowel resection with anastomosis. Report 44203 for each additional resection and anastomosis performed in that operative session.
Can 44203 be billed by itself?
No. It is an add-on code and must be reported with the primary procedure, 44202.
Are units based on bowel length or specimen count?
No. The code describes additional resection-and-anastomosis work. The operative report should support each additional resection and reconstruction.
What documentation supports an additional unit?
Document the laparoscopic approach, the additional small-bowel segment removed, and the anastomosis performed for that segment.
How does the global-period payment rule affect 44203?
CMS pays this add-on within the primary procedure’s global period. It is not billed apart from the qualifying primary procedure.
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.
5,36444187,,Lap ileo/jejuno-stomy,A,,16.97,10.31,NA,10.31,,3.40,30.68,30.68,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,36544188,,Lap colostomy,A,,18.87,11.04,NA,11.04,,4.21,34.12,34.12,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,36644202,,Lap enterectomy,A,,22.81,10.19,NA,10.19,,5.59,38.59,38.59,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,36744203,,Lap resect s/intestine addl,A,,4.33,1.07,NA,1.07,,1.07,6.47,6.47,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,36844204,,Laparo partial colectomy,A,,25.76,10.80,NA,10.80,,5.75,42.31,42.31,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,36944205,,Lap colectomy part w/ileum,A,,22.38,9.55,NA,9.55,,4.78,36.71,36.71,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,37044206,,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
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985