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See a sample rate comparisonCPT 44010 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Intestine Exam And Surgery, Surgery To Explore The Intestines. The Procedure May Remove A Sample Of Tissue For Testing (Biopsy) Or Remove A Foreign Object.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | $782.58 national non-facility rate (2026) · View Medicare rates for 44010 |
| Medicaid Fee Schedule | $623.075 median of the 8 states in the free preview · View Medicaid rates for 44010 |
National average reimbursement for CPT 44010 by major payers:
$1,042.07
$1,139.25
$1,181.57
$1,372.72
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CPT 44010
5 of 25 sample ratesHigher to lower in this preview
Park Hill Surgery Center, LLC
Park Hill Surgery Center LLC
$6,068.00Published rateHallandale Outpatient Surgical Center,Ltd
Hallandale Outpatient Surgical Centerltd
$1,390.00Published rateNorthwest Ambulatory Surgery Center LLC, Northwest Ambulatory Surgery Center
Northwest Ambulatory Surgery Center LLC
$1,016.00Published rateOhio Surgery Center LLC
Ohio Surgery Center
$551.00Published rateEndoscopy Center -Pineville LLC, Carolina Endoscopy Center -Pineville
Endoscopy Center Pineville LLC
$285.00Published rate
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See a sample payer proposalCPT 44010 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44010 code is part of the Surgery services used for Surgical Procedures on the Digestive System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 44010 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 43999-CPT | High | Unlisted Procedure Stomach, Unlisted Procedure Stomach |
| 44005-CPT | High | Enterolysis (Freeing Of Intestin Adhesion) (Sepa Proc), Enterolysis (Freeing Of Intestinal Adhesion) (Separate Procedure) |
| 44010-CPT | High | Intestine Exam And Surgery, Surgery To Explore The Intestines. The Procedure May Remove A Sample Of Tissue For Testing (Biopsy) Or Remove A Foreign Object. |
| 44015-CPT | Low | Tube Or Needle Catheter Jejuno, Tube Or Needle Catheter Jejunostomy For Enteralalimentation Intraoperative Any Method (List Separately In Addition To Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44010. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44010 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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