Billing code 44625: Ostomy reversalMedicare rate & RVUs in Washington
Report this code when a surgeon closes an ileostomy or colostomy by resecting bowel and reconnecting it without a colorectal anastomosis.
CMS doesn’t publish an office rate for 44625 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 44625 covers
This operation reverses an enterostomy by removing the bowel segment at the stoma and reconnecting the remaining intestine. A typical example is an ileostomy takedown in which the surgeon resects the stoma-bearing segment and joins two small-bowel ends. A surgeon performs the procedure in an operating room, usually in a hospital setting. The resulting connection may involve small bowel or colon, but it is not a connection between colon and rectum.
Select this code when the operative report documents both bowel resection and a noncolorectal anastomosis as part of the stoma closure. The resection and reconnection are included in this service. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When separately reportable procedures occur in the same session, Medicare pays the highest-valued procedure in full and others at 50%. Do not use modifier 50. An assistant surgeon may be paid; co-surgeons require supporting documentation, and CMS does not permit team-surgery billing.
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 44625 pays more and less in Washington
| Payment locality | Office | Facility |
|---|---|---|
| Rest Of Washington | Unavailable | $926.58 |
| Seattle (King Cnty) | Unavailable | $998.20 |
How the 44625 rate is calculated
Each of 44625’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 · 44625
RVUs × geographic indexes × conversion factor
Work16.85
16.85 RVUs× 1.000 GPCI
Practice expense7.62
7.62 RVUs× 1.000 GPCI
Malpractice3.48
3.48 RVUs× 1.000 GPCI
Adjusted RVUs
27.9500
Conversion factor
$33.4009
Medicare rate
$933.56
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 44625
44625 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 44625
Ostomy reversal
| 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 · 44625
Ostomy reversal
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
44625 without 51 · national facility
$933.56
Ostomy reversal
44625-51 · Second procedure: 50%
$466.78
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%).
44625 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 44620Stoma closure
- Both codes address enterostomy closure. Choose 44625 when the surgeon resects bowel and creates an anastomosis; choose 44620 when closure does not include those steps.
- 44626Enterostomy closure
- Both involve resection during enterostomy closure. Use 44626 if the surgeon joins colon to rectum; use 44625 for a noncolorectal anastomosis.
- 44120Small-bowel resection
- Code 44120 describes a small-bowel resection and anastomosis outside an enterostomy closure. When those steps accomplish an ileostomy takedown, 44625 describes the combined operation.
44625 billing questions
How does this differ from 44620?
Use 44625 when closing the enterostomy requires bowel resection and anastomosis. Code 44620 describes closure without that resection-and-anastomosis component.
When should 44626 be considered instead?
Choose 44626 when the resection and stoma closure result in a colorectal anastomosis. The operative report should identify the segments joined.
Can the bowel resection and anastomosis be billed separately?
Not when they are the resection and reconnection performed to close the enterostomy; those steps are part of 44625.
What documentation supports 44625?
The operative report should identify the stoma taken down, the bowel removed, and the two bowel segments joined. Those details establish both the resection and the noncolorectal anastomosis.
Can modifier 50 or team-surgery billing be used?
Do not append modifier 50 to this intestinal operation. CMS does not permit team-surgery billing, although an assistant surgeon may be paid and co-surgeons may be paid with supporting documentation.
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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