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See a sample rate comparisonCPT 44025 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.
Exploratory Surgery Intestine, Surgery To Explore The Large Intestine. The Procedure May Include Removal Of A Foreign Object Or Take A Sample Of Tissue For Testing (Biopsy).
| 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 | $919.53 national non-facility rate (2026) · View Medicare rates for 44025 |
| Medicaid Fee Schedule | $720.85 median of the 8 states in the free preview · View Medicaid rates for 44025 |
National average reimbursement for CPT 44025 by major payers:
$1,213.25
$1,304.62
$1,372.32
$1,561.32
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CPT 44025
5 of 25 sample ratesHigher to lower in this preview
Texas Health Surgery Center Bedford, LLC, Texas Health Surgery Center Bedford
Texas Health Surgery Center Bedford LLC
$6,068.00Published rateSpine Solutions Of Green Bay LLC
$916.00Published rateRenaissance Surgery Center Of Chattanooga, LLC
Renaissance Surgery Center Of Chattanooga LLC
$582.00Published rateMoothedath A Menon, Wika Endoscopy Center
M.A. Menon, M.D.
$525.00Published ratePoole Endoscopy Center, Neel Kamal Md
$273.00Published rate
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See a sample payer proposalCPT 44025 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44025 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 44025 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 |
|---|---|---|
| 44020-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. |
| 44025-CPT | High | Exploratory Surgery Intestine, Surgery To Explore The Large Intestine. The Procedure May Include Removal Of A Foreign Object Or Take A Sample Of Tissue For Testing (Biopsy). |
| 44050-CPT | High | Reduct Of Volvulus Intussusception Intern Hernia By Laparotomy, Reduction Of Volvulus Intussusception Internal Hernia By Laparotomy |
| 44055-CPT | High | Correction Of Malrotation By L, Correction Of Malrotation By Lysis Of Duodenal Bands Andor Reduction Of Midgut Volvulus (Eg Ladd Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44025. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44025 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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