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See a sample rate comparisonCPT 44021 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.
Enterotomy Small Intest Other Than Duodenum; For Dcompress (E, Enterotomy Small Intestine Other Than Duodenum; For Decompression (E
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | $908.84 national non-facility rate (2026) · View Medicare rates for 44021 |
| Medicaid Fee Schedule | $711.37 median of the 8 states in the free preview · View Medicaid rates for 44021 |
National average reimbursement for CPT 44021 by major payers:
$1,188.39
$1,293.15
$1,325.87
$1,545.61
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CPT 44021
5 of 25 sample ratesHigher to lower in this preview
Vesc LLC, Adventhealth Surgery Center Ormond Beach
Vesc LLC
$1,444.00Published rateBloomfield Asc LLC
Bloomfield Asc, LLC
$850.00Published rateOhio Eye Associates, Inc., Ohio Eye Associates Eye Surgery & Laser Center
Ohio Eye Associates, Inc.
$550.00Published rateCasc Aquisition Inc, Carolina Ambulatory Surgery Center
Casc Aquisition Inc
$376.00Published rateLaser Surgery Holding Company, Ltd
Laser Surgery Holding Company Lt
$110.00Published rate
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See a sample payer proposalCPT 44021 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44021 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 44021 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. |
| 44021-CPT | High | Enterotomy Small Intest Other Than Duodenum; For Dcompress (E, Enterotomy Small Intestine Other Than Duodenum; For Decompression (E |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44021. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44021 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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