No office rate
Choose 44322 when colonic biopsies are obtained during colostomy creation. Choose 44320 for colostomy creation without that biopsy component.
On this page
CMS RVU26D · Effective 2026-10-01
44322 Colostomy Medicare reimbursement rates in Utah
Reports creation of a colostomy during an operation that also obtains colonic tissue biopsies, such as sampling abnormal bowel for diagnosis. Compare 44322 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 44322 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
$945.50
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 44322: Colostomy creation with colonic biopsies
Reports creation of a colostomy during an operation that also obtains colonic tissue biopsies, such as sampling abnormal bowel for diagnosis.
The surgeon creates an opening from the colon to the abdominal surface for fecal diversion and takes one or more colonic tissue samples during the same operation. A colorectal or general surgeon may perform this in an operating room when diversion is needed and tissue sampling is also part of the operative plan, such as when abnormal bowel requires diagnostic assessment. The biopsies are included in this service rather than representing a separate colostomy-only procedure.
Report this code when the operative record supports both creation of the colostomy and colonic biopsy sampling. Document the reason for diversion, the bowel segment used, stoma creation, and biopsy sites or specimens. Medicare assigns a 90-day global period, including the day-before preoperative visit and 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 for this anatomy. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 44322
- 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 RVU12.99 · 44%
- Practice expense (office) RVU12.99 · 44%
- Malpractice RVU3.46 · 12%
14
Medicare services in 2024 · #6104 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.
44322 compared with similar codes
Office rates for Utah, from the same CMS release.
No office rate
44310 describes an ileostomy or jejunostomy, using small bowel for the stoma; 44322 involves the colon and includes biopsy sampling.
No office rate
44143 is for partial colectomy with an end colostomy. It represents bowel resection along with diversion, rather than colostomy creation with biopsies.
Compare 44322 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
$945.50
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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 44322 in Utah.
PPRRVU2026_Oct_nonQPP.csv
5,385
- Code
- 44322
- Physician work
- 12.99
- Practice expense
- 12.99
- Malpractice
- 3.46
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.99 | × 1.000 | 12.9900 |
| Practice expense | 12.99 | × 0.940 | 12.2106 |
| Malpractice | 3.46 | × 0.898 | 3.1071 |
| Total RVUs | 28.3077 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$945.50
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.99 | 1 |
| Practice expense | 12.99 | 0.94 |
| Malpractice | 3.46 | 0.898 |
(12.99 × 1 + 12.99 × 0.94 + 3.46 × 0.898) × $33.4009 = $945.50
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.
44322 billing questions
When should this be reported instead of 44320?
Use 44322 when the surgeon creates a colostomy and also obtains colonic biopsies during that operation. 44320 describes colostomy creation without the biopsy distinction.
Can the biopsy be billed separately?
The biopsy sampling is part of 44322 when performed with the colostomy. Document the sampled site and specimen in the operative record.
Does the code describe an ileostomy?
No. It describes a colostomy with biopsy sampling; 44310 is the related option for an ileostomy or jejunostomy.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, with other procedures subject to the standard multiple-procedure reduction at 50%. Modifier 50 is inappropriate for this anatomy.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons require supporting documentation, and 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.
5,38244314,,Revision of ileostomy,A,,16.32,8.33,NA,8.33,,3.36,28.01,28.01,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38344316,,Devise bowel pouch,A,,23.00,10.49,NA,10.49,,6.16,39.65,39.65,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38444320,,Colostomy,A,,19.41,9.68,NA,9.68,,4.50,33.59,33.59,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38544322,,Colostomy with biopsies,A,,12.99,12.99,NA,12.99,,3.46,29.44,29.44,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38644340,,Revision of colostomy,A,,9.05,7.12,NA,7.12,,2.01,18.18,18.18,0,090,0.09,0.81,0.10,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38744345,,Revision of colostomy,A,,16.79,9.00,NA,9.00,,3.75,29.54,29.54,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38844346,,Revision of colostomy,A,,19.14,9.58,NA,9.58,,4.22,32.94,32.94,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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