Billing code 44207: ColectomyMedicare rate & RVUs in Washington
Reports laparoscopic removal of part of the colon when the remaining colon is joined to the rectum through a low pelvic anastomosis.
CMS doesn’t publish an office rate for 44207 in Washington.
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 44207 covers
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.
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.
Where 44207 pays more and less in Washington
| Payment locality | Office | Facility |
|---|---|---|
| Rest Of Washington | Unavailable | $1,633.14 |
| Seattle (King Cnty) | Unavailable | $1,752.66 |
How the 44207 rate is calculated
Each of 44207’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 · 44207
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 31.12Practice expense 11.90Malpractice 6.36
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 44207
44207 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 44207
Colectomy
| 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 · 44207
Colectomy
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
44207 without 51 · national facility
$1,649.34
Colectomy
44207-51 · Second procedure: 50%
$824.67
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%).
44207 compared with similar codes
Compare codes
44207 vs 44204 vs 44206 vs 44208 vs 44145: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 44204Partial colectomy
- 44204 describes laparoscopic partial colectomy with anastomosis at a site other than the low pelvic colon-to-rectum connection represented by 44207.
- 44206Partial colectomy
- 44206 is for a laparoscopic partial colectomy that ends in an end colostomy, not a colon-to-rectum anastomosis.
- 44208Colectomy
- 44208 involves a colostomy with the laparoscopic partial colectomy. Choose 44207 when the remaining colon is joined to the rectum.
- 44145Partial colectomy
- 44145 describes the open approach for partial colectomy with a colon-to-rectum anastomosis; 44207 is for the laparoscopic approach.
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 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
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