No office rate
Choose 44126 for congenital atresia resection without tapering enteroplasty; choose 44127 when tapering is performed.
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CMS RVU26D · Effective 2026-10-01
44127 Atresia resection Medicare reimbursement rates in Virginia
Reports small-bowel resection for congenital atresia with tapering enteroplasty, typically performed by a pediatric surgeon to address dilated bowel. Compare 44127 office and facility rates across CMS payment localities in Virginia.
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 44127 in Virginia?
Virginia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$2491.20–$2868.34
2 of 2 localities have a supported rate.
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 44127: Small bowel atresia resection with tapering
Reports small-bowel resection for congenital atresia with tapering enteroplasty, typically performed by a pediatric surgeon to address dilated bowel.
This operation removes a segment of small bowel affected by congenital atresia and tapers an abnormally dilated portion of bowel. It is most often performed by a pediatric surgeon in the operating room, commonly for an infant with jejunal or ileal atresia. The operative report should establish the congenital condition, the bowel segment treated, and the tapering work performed.
Select this code when the atresia resection includes tapering enteroplasty; code 44126 is the related option when tapering is not performed. For another resection for congenital atresia, 44128 may be reported as an add-on. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 44127
- 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 RVU48.07 · 61%
- Practice expense (office) RVU17.73 · 23%
- Malpractice RVU12.87 · 16%
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.
44127 compared with similar codes
Office rates for Virginia, from the same CMS release.
No office rate
44128 is an add-on for each additional congenital atresia resection, not the primary procedure code.
No office rate
44120 describes a general small-intestine resection; 44127 is specific to congenital atresia treated with tapering enteroplasty.
Compare 44127 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.
2 of 2 payment localities
Dc + Md/Va Suburbs →
Office / nonfacility
Unavailable
Facility
$2868.34
Virginia →
Office / nonfacility
Unavailable
Facility
$2491.20
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44127 billing questions
When should I choose this code instead of 44126?
Use this code when the congenital atresia resection includes tapering enteroplasty. Code 44126 describes the related resection without tapering.
How is another atresia resection reported?
Code 44128 is the add-on for each additional resection for congenital atresia. Document the additional resection in the operative report.
What operative details support reporting this code?
Document the congenital atresia, the bowel segment resected, and the tapering enteroplasty performed. The record should make clear that tapering was part of the operation.
How does the multiple-procedure reduction affect payment?
For procedures performed in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50% under the standard multiple procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeons are paid only with 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 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.
5,33644121,,Removal of small intestine,A,,4.33,1.08,NA,1.08,,1.07,6.48,6.48,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33744125,,Removal of small intestine,A,,19.53,8.63,NA,8.63,,4.70,32.86,32.86,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33844126,,Enterectomy w/o taper cong,A,,41.17,16.20,NA,16.20,,11.05,68.42,68.42,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33944127,,Enterectomy w/taper cong,A,,48.07,17.73,NA,17.73,,12.87,78.67,78.67,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,34044128,,Enterectomy cong add-on,A,,4.33,1.05,NA,1.05,,1.16,6.54,6.54,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,34144130,,Bowel to bowel fusion,A,,21.56,9.95,NA,9.95,,5.34,36.85,36.85,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,34244132,,Enterectomy cadaver donor,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00