Billing code 44626: Enterostomy closureMedicare rate & RVUs in Utah
Reports closure of a surgically created small- or large-bowel opening with bowel resection and reconnection, including repair of a parastomal hernia.
CMS doesn’t publish an office rate for 44626 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 44626 covers
This operation closes a surgically created enterostomy, such as an ileostomy or colostomy, by removing bowel at the stoma and reconnecting the remaining ends. The service also includes repair of the parastomal hernia. A surgeon typically performs it in a hospital operating room when the patient is ready for intestinal continuity to be restored and the stoma site has a hernia requiring repair.
Report 44626 when the closure includes both bowel resection with anastomosis and parastomal hernia repair; operative documentation should support each part of that service. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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 multiple-procedure reduction. Modifier 50 is inappropriate for this code. 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.
44626 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $1,414.69 |
How the 44626 rate is calculated
Each of 44626’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 · 44626
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 27.20Practice expense 10.18Malpractice 6.22
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 44626
44626 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 44626
Enterostomy closure
| 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 · 44626
Enterostomy closure
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
44626 without 51 · national facility
$1,456.28
Enterostomy closure
44626-51 · Second procedure: 50%
$728.14
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%).
44626 compared with similar codes
Compare codes
44626 vs 44620 vs 44625 vs 44640: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 44620Stoma closure
- Use 44620 for enterostomy closure without bowel resection and anastomosis. 44626 involves resection and anastomosis and includes parastomal hernia repair.
- 44625Ostomy reversal
- Use 44625 when enterostomy closure includes bowel resection and anastomosis but not parastomal hernia repair. 44626 includes the hernia repair as well.
- 44640Fistula repair
- 44640 is for repair of an intestinal-to-skin fistula. 44626 closes a surgically created enterostomy and includes resection, anastomosis, and parastomal hernia repair.
44626 billing questions
How does 44626 differ from 44625?
Both involve enterostomy closure with bowel resection and anastomosis. 44626 also includes repair of a parastomal hernia.
When is 44620 used instead?
44620 describes enterostomy closure without bowel resection and anastomosis. Use 44626 when resection and reconnection are performed and a parastomal hernia is repaired.
Can the parastomal hernia repair be reported separately?
The hernia repair is included in 44626. The operative report should document the hernia repair along with the bowel resection, anastomosis, and stoma closure.
Does 44626 have a global period?
Yes. It has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for two stomas?
No. Modifier 50 is inappropriate for this code under the CMS bilateral rule.
May an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires 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
Fee sheets
Put 44626 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →