No office rate
44625 includes enterostomy closure with resection and anastomosis. Use 44620 when the operative work does not include that resection-and-anastomosis service.
On this page
CMS RVU26D · Effective 2026-10-01
44620 Stoma closure Medicare reimbursement rates in Virginia
Reports surgical takedown of a small- or large-intestinal stoma when restoring bowel continuity does not require the resection-and-anastomosis work of related codes. Compare 44620 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 44620 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
$770.16–$882.19
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 surgery
About 44620: Intestinal enterostomy closure
Reports surgical takedown of a small- or large-intestinal stoma when restoring bowel continuity does not require the resection-and-anastomosis work of related codes.
A surgeon closes a previously created intestinal opening, such as an ileostomy or colostomy, and restores continuity between the bowel and the distal intestine. The procedure is generally performed in an operating room, often in a hospital, after the original condition has resolved or the temporary diversion is no longer needed. This code distinguishes a stoma closure from closure that includes intestinal resection and anastomosis.
Select the code based on the documented operative work, including the stoma site and whether bowel resection with anastomosis was performed. The operative report should identify the enterostomy being closed and describe the closure and restoration of continuity. This major surgery code includes 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 50% reduction. Modifier 50 is inappropriate for this anatomy. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 44620
- 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 RVU14.07 · 58%
- Practice expense (office) RVU6.96 · 29%
- Malpractice RVU3.04 · 13%
2.1K
Medicare services in 2024 · #2435 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.
44620 compared with similar codes
Office rates for Virginia, from the same CMS release.
No office rate
44626 specifies resection with colorectal anastomosis during enterostomy closure. The operative report must support that distinction.
No office rate
44604 describes suture repair of the large intestine, such as repair of a bowel opening, rather than closure of a previously created stoma.
No office rate
44640 addresses repair of a bowel-to-skin fistula. A planned enterostomy takedown is reported with the applicable closure code instead.
Compare 44620 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
$882.19
Virginia →
Office / nonfacility
Unavailable
Facility
$770.16
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44620 billing questions
How is 44620 different from 44625?
Use 44620 for enterostomy closure without the resection-and-anastomosis work described by 44625. Choose based on the actual operative report, not just the fact that bowel continuity was restored.
When does 44626 apply instead?
44626 is a related closure code that specifies resection with colorectal anastomosis. Use it when that documented operative work is performed.
What documentation supports 44620?
The operative report should identify the stoma and bowel site, describe its takedown and closure, and support that the work does not meet the resection-and-anastomosis distinctions of the related codes.
How does the global period affect billing?
The 90-day global includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. 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 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.
5,42844604,,Suture large intestine,A,,17.71,7.20,NA,7.20,,4.27,29.18,29.18,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,42944605,,Repair of bowel lesion,A,,21.53,9.18,NA,9.18,,5.75,36.46,36.46,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,43044615,,Intestinal stricturoplasty,A,,17.71,7.94,NA,7.94,,4.14,29.79,29.79,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,43144620,,Repair bowel opening,A,,14.07,6.96,NA,6.96,,3.04,24.07,24.07,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,43244625,,Repair bowel opening,A,,16.85,7.62,NA,7.62,,3.48,27.95,27.95,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,43344626,,Repair bowel opening,A,,27.20,10.18,NA,10.18,,6.22,43.60,43.60,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,43444640,,Repair bowel-skin fistula,A,,23.60,9.41,NA,9.41,,5.43,38.44,38.44,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00