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See a sample rate comparisonCPT 44121 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Surgery On Intestines, Surgery To Remove A Section Of The Intestines. The Procedure Attaches The Resulting Open Ends Together And May Include Additional Reconstruction Of The Structures.
| 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 | 52 - Reduced Services 58 - Staged or related procedure during postoperative period GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $216.44 national non-facility rate (2026) · View Medicare rates for 44121 |
| Medicaid Fee Schedule | $176.725 median of the 8 states in the free preview · View Medicaid rates for 44121 |
National average reimbursement for CPT 44121 by major payers:
$302.17
$328.20
$356.27
$387.65
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CPT 44121
5 of 25 sample ratesHigher to lower in this preview
Rocky Mountain Surgery Center LLC
Rocky Mountain Surgery Center, LLC
$2,785.00Published rateRoswell Surgery Center LLC, Roswell Surgery Center
Roswell Surgery Center LLC
$1,028.00Published rateNorth Idaho Pain Center LLC
$611.00Published rateChildren 1st Grand Prairie, LLC, Children 1st Dental & Surgery Center
Fiduciary Wise, LLC Fbo Children 1st Dental & Surgery Center
$410.00Published rateTarboro Endoscopy Center, LLC
Tarboro Endoscopy Center LLC
$273.00Published rate
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See a sample payer proposalCPT 44121 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44121 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 44121 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 |
|---|---|---|
| 44120-CPT | High | Surgery On Intestines, Surgery To Remove A Section Of The Intestines. The Procedure Attaches The Resulting Open Ends Together And May Include Additional Reconstruction Of The Structures. |
| 44121-CPT | Moderate | Surgery On Intestines, Surgery To Remove A Section Of The Intestines. The Procedure Attaches The Resulting Open Ends Together And May Include Additional Reconstruction Of The Structures. |
| 44126-CPT | High | Surgery On Intestines, Surgery To Remove A Section Of The Intestines. The Procedure Attaches The Resulting Open Ends Together And May Include Additional Reconstruction Of The Structures. |
| 44128-CPT | Moderate | Enterectomy Cong Add On, Enterectomy Resection Of Small Intestine For Congenital Atresia Single Resection And Anastomosis Of Proximal Segment Of Intestine Each Additional Resection And Anastomosis List Separately In Addition To Code For 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 44121. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44121 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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