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See a sample rate comparisonCPT 44126 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.
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 | 80 - Assistant surgeon GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | $2,285.29 national non-facility rate (2026) · View Medicare rates for 44126 |
| Medicaid Fee Schedule | $1,775.415 median of the 8 states in the free preview · View Medicaid rates for 44126 |
National average reimbursement for CPT 44126 by major payers:
$3,144.43
$3,264.74
$3,444.22
$3,892.89
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CPT 44126
5 of 25 sample ratesHigher to lower in this preview
Central Ohio Surgical Institute, LLC
Central Ohio Surgical Institute LLC
$12,881.00Published rateCanon City Co Multi Specialty Asc LLC, Arkansas Valley Surgery Center
Canon City Co Multi Specialty Asc LLC
$1,416.00Published ratePend Oreille Surgery Center LLC
$825.00Published rateFemi-Care Surgery Center, LLC
Femicare Surgery Center LLC
$373.00Published rateNational Cardiovascular Surgery Center, LLC, Peak Surgery Center Of Avondale
National Cardiovascular Surgery Center LLC
$175.00Published rate
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See a sample payer proposalCPT 44126 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44126 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 44126 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. |
| 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. |
| 44127-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 44126. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44126 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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