No office rate
44204 describes laparoscopic partial colectomy with anastomosis at a site other than the low pelvic colon-to-rectum connection represented by 44207.
On this page
CMS RVU26D · Effective 2026-10-01
44207 Colectomy Medicare reimbursement rates in Vermont
Reports laparoscopic removal of part of the colon when the remaining colon is joined to the rectum through a low pelvic anastomosis. Compare 44207 office and facility rates across CMS payment localities in Vermont.
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 44207 in Vermont?
Vermont 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
$1540.42
1 of 1 localities have a supported rate.
Payment area: Vermont
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.
Colorectal surgery
About 44207: Laparoscopic partial colectomy with coloproctostomy
Reports laparoscopic removal of part of the colon when the remaining colon is joined to the rectum through a low pelvic anastomosis.
The surgeon removes a segment of colon using a laparoscopic approach and connects the remaining colon to the rectum in the pelvis. This operation may be performed for conditions such as sigmoid diverticular disease or colorectal neoplasia when the resection requires a low pelvic connection. It is typically performed by a colorectal or general surgeon in a hospital or other surgical facility.
Report this code when the operative record supports laparoscopic partial colectomy and a colon-to-rectum anastomosis. Document the resection and the anastomosis site; a colon-to-colon connection or a resection ending in a stoma points to a different code. The 90-day global period includes the day-before preoperative visit and related postoperative care during the following 90 days. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this single bowel resection. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 44207
- 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 RVU31.12 · 63%
- Practice expense (office) RVU11.90 · 24%
- Malpractice RVU6.36 · 13%
12.4K
Medicare services in 2024 · #1365 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.
44207 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
44206 is for a laparoscopic partial colectomy that ends in an end colostomy, not a colon-to-rectum anastomosis.
No office rate
44208 involves a colostomy with the laparoscopic partial colectomy. Choose 44207 when the remaining colon is joined to the rectum.
No office rate
44145 describes the open approach for partial colectomy with a colon-to-rectum anastomosis; 44207 is for the laparoscopic approach.
Compare 44207 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
Vermont →
Office / nonfacility
Unavailable
Facility
$1540.42
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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 44207 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
5,371
- Code
- 44207
- Physician work
- 31.12
- Practice expense
- 11.90
- Malpractice
- 6.36
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 31.12 | × 1.000 | 31.1200 |
| Practice expense | 11.90 | × 0.990 | 11.7810 |
| Malpractice | 6.36 | × 0.506 | 3.2182 |
| Total RVUs | 46.1192 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$1540.42
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 31.12 | 1 |
| Practice expense | 11.9 | 0.99 |
| Malpractice | 6.36 | 0.506 |
(31.12 × 1 + 11.9 × 0.99 + 6.36 × 0.506) × $33.4009 = $1540.42
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.
44207 billing questions
How does this differ from 44204?
Use 44207 when the remaining colon is joined to the rectum through a low pelvic anastomosis. Code 44204 describes a partial colectomy with an anastomosis that is not this low pelvic colon-to-rectum connection.
Is the anastomosis separately reported?
The colon-to-rectum connection is part of the colectomy service. Do not report a separate code just for creating that anastomosis.
When may 44213 be reported with 44207?
44213 may be reported as an add-on when laparoscopic mobilization of the splenic flexure is performed with the partial colectomy and documented in the operative report.
Can modifier 50 be used?
No. This code represents a single bowel resection and reconstruction; modifier 50 is inappropriate.
What should the operative report document?
Document the laparoscopic approach, the portion of colon removed, and that the remaining colon was connected to the rectum in the pelvis. These details distinguish 44207 from codes for other anastomosis sites or a stoma.
How are assistant and co-surgeon services handled?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, while 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.
5,36844204,,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
5,37144207,,L colectomy/coloproctostomy,A,,31.12,11.90,NA,11.90,,6.36,49.38,49.38,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,37244208,,L colectomy/coloproctostomy,A,,33.14,14.10,NA,14.10,,6.71,53.95,53.95,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,37344210,,Laparo total proctocolectomy,A,,29.34,13.86,NA,13.86,,5.53,48.73,48.73,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,37444211,,Lap colectomy w/proctectomy,A,,36.15,16.36,NA,16.36,,5.19,57.70,57.70,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817