No office rate
44120 describes resection of a small-bowel segment with anastomosis. Choose 44130 for the bowel-to-bowel connection or bypass when that is the documented service, rather than coding the resection service.
On this page
CMS RVU26D · Effective 2026-10-01
44130 Bowel anastomosis Medicare reimbursement rates in Wyoming
Report an open small-bowel connection when a surgeon restores intestinal continuity or creates a bypass, with or without partial resection. Compare 44130 office and facility rates across CMS payment localities in Wyoming.
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 44130 in Wyoming?
Wyoming has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1184.45
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
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 44130: Small bowel anastomosis or bypass
Report an open small-bowel connection when a surgeon restores intestinal continuity or creates a bypass, with or without partial resection.
A surgeon creates a connection between two portions of intestine, sometimes removing part of the bowel or routing contents around a diseased or obstructed segment. The operation is performed through an abdominal approach and may be used for small-bowel reconstruction or bypass. General and colorectal surgeons typically perform it in an operating room, often during inpatient surgery.
Choose the code when the operative report documents the bowel-to-bowel anastomosis and whether partial resection or bypass was performed. Distinguish it from a resection code that already describes removal of a small-bowel segment with anastomosis. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the global period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are reduced to 50%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this single bowel-to-bowel reconstruction.
CMS billing rules for 44130
- 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 RVU21.56 · 59%
- Practice expense (office) RVU9.95 · 27%
- Malpractice RVU5.34 · 14%
1.5K
Medicare services in 2024 · #2649 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.
44130 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
44125 describes small-bowel resection with an enterostomy. It is not the choice for a bowel-to-bowel anastomosis without that enterostomy service.
No office rate
44140 describes partial colon resection with anastomosis. Use 44130 for the small-bowel-to-small-bowel connection.
Compare 44130 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.
1 of 1 payment localities
Wyoming** →
Office / nonfacility
Unavailable
Facility
$1184.45
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 44130 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
5,341
- Code
- 44130
- Physician work
- 21.56
- Practice expense
- 9.95
- Malpractice
- 5.34
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 21.56 | × 1.000 | 21.5600 |
| Practice expense | 9.95 | × 1.000 | 9.9500 |
| Malpractice | 5.34 | × 0.740 | 3.9516 |
| Total RVUs | 35.4616 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$1184.45
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 21.56 | 1 |
| Practice expense | 9.95 | 1 |
| Malpractice | 5.34 | 0.74 |
(21.56 × 1 + 9.95 × 1 + 5.34 × 0.74) × $33.4009 = $1184.45
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
44130 billing questions
Can the anastomosis be separately reported with a small-bowel resection?
The operative details determine the service reported. Do not separately report an anastomosis that is already included in the selected resection code; the record should support a distinct procedure when 44130 is also reported.
Should modifier 50 be appended?
No. This is a single bowel-to-bowel reconstruction, not a bilateral procedure.
Is the day-before visit or routine postoperative care separately included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and 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.
5,33844126,,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
5,34344133,,Enterectomy live 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
5,34444135,,Intestine transplnt cadaver,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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,