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See a sample rate comparisonCPT 44127 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 78 - Return to OR - related procedure |
| Complexity Level | High |
| Medicare Fee Schedule | $2,627.65 national non-facility rate (2026) · View Medicare rates for 44127 |
| Medicaid Fee Schedule | $2,040.095 median of the 8 states in the free preview · View Medicaid rates for 44127 |
National average reimbursement for CPT 44127 by major payers:
$3,479.09
$3,774.02
$3,914.16
$4,492.86
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CPT 44127
5 of 25 sample ratesHigher to lower in this preview
Central Ohio Surgical Institute, LLC
Central Ohio Surgical Institute LLC
$12,881.00Published rateYork County Endoscopy Center LLC
$1,167.00Published rateSurgery Center At Cottonwood, LLC
Surgery Center At Cottonwood LLC
$840.00Published rateHemet Healthcare Surgicenter, Inc.
Hemet Healthcare Surgicenter
$520.00Published rateMain Line PA Endoscopy Asc Lp, Main Line Endoscopy Center Malvern
$238.00Published rate
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See a sample payer proposalCPT 44127 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44127 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 44127 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 |
|---|---|---|
| 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 |
| 44130-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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44127. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44127 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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