$468.99–$546.28
Use 44390 when the colonoscope passes through a stoma; use 45379 for foreign-body removal by the usual anal route.
On this page
CMS RVU26D · Effective 2026-10-01
44390 Stomal colonoscopy Medicare reimbursement rates in Virginia
Reports colonoscopy performed through a stoma to retrieve a foreign object from the colon using an endoscopic instrument. Compare 44390 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 44390 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
$439.88–$513.20
2 of 2 localities have a supported rate.
Facility setting
$180.83–$202.76
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.
Gastrointestinal endoscopy
About 44390: Colonoscopy through stoma with foreign body removal
Reports colonoscopy performed through a stoma to retrieve a foreign object from the colon using an endoscopic instrument.
A gastroenterologist or colorectal surgeon uses a colonoscope passed through a colostomy stoma to locate and retrieve a foreign object in the colon. The service is typically performed in an endoscopy suite or hospital procedure setting when the object can be reached and removed endoscopically. The operative report should identify the route through the stoma, the foreign object, its location, and the retrieval performed.
Choose this code for endoscopic foreign-body removal through a stoma, rather than a diagnostic examination alone or treatment directed at a polyp, bleeding site, or tissue sample. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. Modifier 50 is inappropriate for this anatomy. Medicare does not pay for an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 44390
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Endoscopy family pricing applies when related endoscopies are performed together.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU3.65 · 27%
- Practice expense (office) RVU9.39 · 70%
- Malpractice RVU0.41 · 3%
25
Medicare services in 2024 · #5793 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.
44390 compared with similar codes
Office rates for Virginia, from the same CMS release.
$345.41–$404.81
Code 44388 describes colonoscopy through a stoma without the foreign-body removal service. Choose 44390 when endoscopic retrieval is performed.
$687.76–$808.99
Code 44391 is for endoscopic control of bleeding through a stoma. Code 44390 is for retrieval of a foreign object.
$472.94–$552.35
Code 44394 describes snare removal of a polyp through a stoma; 44390 identifies foreign-body removal.
Compare 44390 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
$513.20
Facility
$202.76
Virginia →
Office / nonfacility
$439.88
Facility
$180.83
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44390 billing questions
How does this differ from code 45379?
Code 44390 describes foreign-body removal by colonoscopy through a stoma. Code 45379 is the corresponding foreign-body removal service through the usual anal route.
Can this code be used for a diagnostic examination through the stoma?
No. Use 44390 when the colonoscopy through the stoma includes endoscopic foreign-body removal. A diagnostic examination without that treatment is represented by a different code.
Is removal of a polyp or control of bleeding included?
This code is for foreign-body removal, not polypectomy or treatment of a bleeding site. Report the code matching the therapeutic service actually performed.
How should same-day related endoscopies be handled?
When related endoscopies are performed together, CMS endoscopy family pricing applies. The operative documentation should support each service and its distinct purpose.
Can modifier 50 or an assistant-at-surgery claim be reported?
Modifier 50 is inappropriate for this stoma-based service. Medicare does not pay an assistant at surgery for this code.
What documentation supports reporting 44390?
Document that the colonoscope entered through the stoma, the foreign object and its location, and the endoscopic retrieval performed.
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.
5,40944388,,Colonoscopy thru stoma spx,A,,2.65,7.53,,1.16,,0.41,10.59,4.22,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,41044388,53,Colonoscopy thru stoma spx,A,,1.33,3.76,,0.58,,0.21,5.30,2.12,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,41144389,,Colonoscopy with biopsy,A,,2.94,10.36,,1.26,,0.40,13.70,4.60,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44388,33.4009,09,0,99,0.00,0.00,0.00
5,41244390,,Colonoscopy for foreign body,A,,3.65,9.39,,1.50,,0.41,13.45,5.56,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44388,33.4009,09,0,99,0.00,0.00,0.00
5,41344391,,Colonoscopy for bleeding,A,,4.02,16.52,,1.59,,0.47,21.01,6.08,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44388,33.4009,09,0,99,0.00,0.00,0.00
5,41444392,,Colonoscopy & polypectomy,A,,3.44,8.91,,1.35,,0.59,12.94,5.38,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44388,33.4009,09,0,99,0.00,0.00,0.00
5,41544394,,Colonoscopy w/snare,A,,3.93,10.04,,1.54,,0.51,14.48,5.98,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44388,33.4009,09,0,99,0.00,0.00,0.00