Billing code 44402: ColonoscopyMedicare rate & RVUs in Utah
Reports colonoscopy with placement of a stent across a colorectal narrowing or obstruction to help maintain an open passage.
CMS doesn’t publish an office rate for 44402 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 44402 covers
During colonoscopy, the endoscopist delivers and positions a stent across a narrowed or obstructed segment of the colon to help keep the lumen open. This may be used for symptomatic colorectal obstruction, including obstruction caused by a tumor or a tight stricture, when endoscopic stenting is selected. Gastroenterologists and colorectal surgeons commonly perform the procedure in a hospital or ambulatory endoscopy setting.
Report 44402 when the colonoscopy includes actual stent placement. The procedure note should identify the indication and site of the narrowing or obstruction and document the stent placement. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, CMS endoscopy-family pricing applies. Bilateral adjustment is inappropriate, and modifier 50 should not be used. CMS does not pay an assistant at surgery; co-surgeons and team surgery are 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.
44402 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $223.86 |
How the 44402 rate is calculated
Each of 44402’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 · 44402
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 4.58Practice expense 1.78Malpractice 0.50
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 44402
The CMS indicators that decide how 44402 is paid alongside other services.
CMS payment indicators · 44402
Colonoscopy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 3 | Endoscopy family rules apply. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
44402 without 51 · national facility
$229.13
Colonoscopy
44402-51 · Second procedure: 50%
$114.57
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%).
44402 compared with similar codes
Compare codes
44402 vs 44405 vs 44403 vs 44404: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 44405Colonoscopy
- 44405 describes colonoscopic dilation. Use 44402 when a stent is placed to maintain an open passage through the narrowed segment.
- 44403Colonoscopy
- 44403 describes colonoscopic resection, while 44402 describes placement of a stent across a narrowing or obstruction.
- 44404Colonoscopy
- 44404 describes colonoscopic injection; 44402 is selected when the service includes stent placement.
44402 billing questions
When should 44402 be selected instead of a colonoscopy with dilation?
Use 44402 when a stent is placed across the colonic narrowing or obstruction. A dilation-only procedure is described by 44405.
Can a related endoscopy be reported during the same session?
CMS endoscopy-family pricing applies when related endoscopies are performed together. Document each service performed; the applicable family pricing governs payment.
Should modifier 50 be appended for a stent placed on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.
What documentation supports reporting 44402?
Document the indication, the location and nature of the colonic narrowing or obstruction, and the stent placement performed during colonoscopy.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
Can an assistant, co-surgeon, or surgical team be reported?
CMS does not pay an assistant at surgery for this code. Co-surgeons and team surgery are 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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