No office rate
44140 applies when the remaining bowel is joined by an anastomosis. Choose 44141 when the operation creates a skin-level cecostomy or colostomy instead.
On this page
CMS RVU26D · Effective 2026-10-01
44141 Partial colectomy Medicare reimbursement rates in Wyoming
Reports removal of a colon segment with creation of a skin-level cecostomy or colostomy when the remaining bowel is diverted to the abdominal surface. Compare 44141 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 44141 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
$1628.91
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.
Colorectal surgery
About 44141: Partial colectomy with skin-level stoma
Reports removal of a colon segment with creation of a skin-level cecostomy or colostomy when the remaining bowel is diverted to the abdominal surface.
In this open abdominal operation, a surgeon removes part of the colon and brings bowel to the skin to create a cecostomy or colostomy. It may be performed for conditions such as obstructing or perforated colon disease when the operative plan calls for diversion rather than reconnecting the bowel. General and colorectal surgeons typically perform it in a hospital operating room. The operative report should identify the colon segment removed and the type and location of the stoma created.
Report 44141 when the documented operation includes partial colon removal and a skin-level cecostomy or colostomy; a partial colectomy with an anastomosis is a different service. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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 not appropriate for this anatomy. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 44141
- 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 RVU29.16 · 58%
- Practice expense (office) RVU14.31 · 28%
- Malpractice RVU7.16 · 14%
2.2K
Medicare services in 2024 · #2391 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.
44141 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
44143 includes an end colostomy with closure of the downstream bowel segment. 44141 describes a skin-level cecostomy or colostomy without that defining configuration.
No office rate
44144 includes creation of a mucous fistula in addition to the colostomy. 44141 does not describe that configuration.
Compare 44141 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
$1628.91
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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 44141 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
5,349
- Code
- 44141
- Physician work
- 29.16
- Practice expense
- 14.31
- Malpractice
- 7.16
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 29.16 | × 1.000 | 29.1600 |
| Practice expense | 14.31 | × 1.000 | 14.3100 |
| Malpractice | 7.16 | × 0.740 | 5.2984 |
| Total RVUs | 48.7684 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$1628.91
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 29.16 | 1 |
| Practice expense | 14.31 | 1 |
| Malpractice | 7.16 | 0.74 |
(29.16 × 1 + 14.31 × 1 + 7.16 × 0.74) × $33.4009 = $1628.91
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.
44141 billing questions
When should 44141 be chosen instead of 44140?
Use 44141 when partial colon removal includes creation of a skin-level cecostomy or colostomy. Code 44140 describes partial colectomy with anastomosis.
How does 44141 differ from 44143?
44141 describes a skin-level cecostomy or colostomy. 44143 is used for partial colectomy with an end colostomy and closure of the downstream bowel segment.
Can the stoma creation be billed separately?
The skin-level cecostomy or colostomy is part of the service represented by 44141; it is not a separate procedure to report in addition to this code.
What documentation supports 44141?
The operative report should support removal of part of the colon and creation of a skin-level cecostomy or colostomy, including the stoma type and location.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with 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.
5,34644137,,Remove intestinal allograft,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,34744139,,Mobilization of colon,A,,2.17,0.54,NA,0.54,,0.49,3.20,3.20,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,34844140,,Partial removal of colon,A,,22.03,10.00,NA,10.00,,5.40,37.43,37.43,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,34944141,,Partial removal of colon,A,,29.16,14.31,NA,14.31,,7.16,50.63,50.63,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,35044143,,Partial removal of colon,A,,27.10,12.13,NA,12.13,,6.60,45.83,45.83,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,35144144,,Partial removal of colon,A,,29.16,12.76,NA,12.76,,7.02,48.94,48.94,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,35244145,,Partial removal of colon,A,,27.87,11.33,NA,11.33,,6.17,45.37,45.37,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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.,,,,,,