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See a sample rate comparisonCPT 44111 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.
Excision Of Bowel Lesion S, Excision Of 1 Or More Lesions Of Small Or Large Intestine Not Requiring Anastomosis Exteriorization Or Fistulization Multiple Enterotomies
| 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 | 51 - Multiple procedures GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | $905.50 national non-facility rate (2026) · View Medicare rates for 44111 |
| Medicaid Fee Schedule | $730.27 median of the 8 states in the free preview · View Medicaid rates for 44111 |
National average reimbursement for CPT 44111 by major payers:
$1,211.62
$1,301.94
$1,378.36
$1,565.38
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CPT 44111
5 of 25 sample ratesHigher to lower in this preview
Saint Lukes South Surgery Center LLC
$6,623.00Published rateSpicewood Surgery Center LLC, Spicewood Surgery Center
Spicewood Surgery Center LLC
$1,274.00Published rateGardendale Surgical Associates, LLC
Gardendale Surgical Associates
$983.00Published rateCastle Hills Outpatient Center, Inc., Surgical Arts Center
Castle Hills Outpatient Center Inc
$605.00Published rateEndoscopic Surgical Centre Of Maryland-North LLC, Endoscopic Surgical Centre Of Maryland North
$347.00Published rate
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See a sample payer proposalCPT 44111 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44111 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 44111 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 |
|---|---|---|
| 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) |
| 44111-CPT | High | Excision Of Bowel Lesion S, Excision Of 1 Or More Lesions Of Small Or Large Intestine Not Requiring Anastomosis Exteriorization Or Fistulization Multiple Enterotomies |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44111. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44111 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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