$223.00
Choose 44380 for diagnostic ileoscopy through a stoma without dilation. Choose 44384 when the endoscopic service includes dilation of a narrowing.
On this page
CMS RVU26D · Effective 2026-10-01
44384 Ileoscopy Medicare reimbursement rates in Wyoming
Reports endoscopic dilation of a narrowed small-bowel passage reached through a stoma, such as an ileostomy, during an ileoscopy. Compare 44384 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 44384 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
$131.81
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.
Gastrointestinal endoscopy
About 44384: Ileoscopy through stoma with dilation
Reports endoscopic dilation of a narrowed small-bowel passage reached through a stoma, such as an ileostomy, during an ileoscopy.
A gastroenterologist or surgeon passes an endoscope through an ileostomy or another small-bowel stoma to reach and dilate a narrowed passage. The treatment may use a balloon, guide wire, or bougie to open a stenosis that can be accessed through the stoma. The service is generally performed in a facility endoscopy setting.
Report this code when the ileoscopy includes dilation, rather than for inspection alone, biopsy, foreign-body removal, or bleeding control. The procedure note should identify the route through the stoma, the narrowed site, and the dilation performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. Modifier 50 is inappropriate for this anatomy. Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.
CMS billing rules for 44384
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Endoscopy family pricing applies when related endoscopies are performed together.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.78 · 69%
- Practice expense (office) RVU0.90 · 22%
- Malpractice RVU0.36 · 9%
107
Medicare services in 2024 · #4829 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.
44384 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$1,066.02
44381 represents biopsy during ileoscopy through a stoma; 44384 represents dilation. Select based on the therapeutic work documented.
Compare 44384 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
$131.81
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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 44384 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
5,406
- Code
- 44384
- Physician work
- 2.78
- Practice expense
- 0.90
- Malpractice
- 0.36
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.78 | × 1.000 | 2.7800 |
| Practice expense | 0.90 | × 1.000 | 0.9000 |
| Malpractice | 0.36 | × 0.740 | 0.2664 |
| Total RVUs | 3.9464 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$131.81
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.78 | 1 |
| Practice expense | 0.9 | 1 |
| Malpractice | 0.36 | 0.74 |
(2.78 × 1 + 0.9 × 1 + 0.36 × 0.74) × $33.4009 = $131.81
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.
44384 billing questions
When should this code be chosen over diagnostic ileoscopy?
Use this code when the ileoscopy includes dilation of a narrowed passage. Inspection through the stoma without dilation is reported with the diagnostic ileoscopy code.
How does this differ from ileoscopy with biopsy?
This code represents dilation, while the biopsy code represents tissue sampling. The procedure note should support the service actually performed.
Does same-day care have a separate global-period payment?
No. CMS assigns a 0-day global period, which includes same-day preoperative and postoperative care.
Should modifier 50 be appended for bilateral dilation?
No. Modifier 50 is inappropriate for this service because the descriptor or anatomy makes a bilateral adjustment inappropriate.
Can an assistant surgeon or co-surgeon be billed?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are 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.
5,40344380,,Small bowel endoscopy br/wa,A,,0.85,5.76,,0.65,,0.09,6.70,1.59,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,40444381,,Small bowel endoscopy br/wa,A,,1.35,30.44,,0.80,,0.17,31.96,2.32,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44380,33.4009,09,0,99,0.00,0.00,0.00
5,40544382,,Small bowel endoscopy,A,,1.14,8.75,,0.76,,0.13,10.02,2.03,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44380,33.4009,09,0,99,0.00,0.00,0.00
5,40644384,,Small bowel endoscopy,A,,2.78,0.90,NA,0.90,,0.36,4.04,4.04,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44380,33.4009,09,0,99,0.00,0.00,0.00
5,40744385,,Endoscopy of bowel pouch,A,,1.17,6.00,,0.68,,0.17,7.34,2.02,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,40844386,,Endoscopy bowel pouch/biop,A,,1.46,8.77,,0.79,,0.18,10.41,2.43,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,40944388,,Colonoscopy thru stoma spx,A,,2.65,7.53,,1.16,,0.41,10.59,4.22,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,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.,,,,,,