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See a sample rate comparisonCPT 44143 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 To Remove Colon, Surgery To Remove A Part Or All Of The Colon (Large Intestine). Waste Is Removed Through An Opening In The Belly Created In Surgery (Stoma).
| 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 | AS - PA/NP/CNS assistant at surgery 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | $1,530.76 national non-facility rate (2026) · View Medicare rates for 44143 |
| Medicaid Fee Schedule | $1,199.46 median of the 8 states in the free preview · View Medicaid rates for 44143 |
National average reimbursement for CPT 44143 by major payers:
$2,001.37
$2,200.15
$2,355.52
$2,622.62
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CPT 44143
5 of 25 sample ratesHigher to lower in this preview
The Endoscopy Center At St. Francis, LLC
The Endoscopy Center At St Francis LLC
$6,362.00Published rateSurgcenter Tucson, LLC
$1,028.00Published rateRockville Surgical Suites, LLC
Rockville Surgical Suites LLC
$758.00Published rateOak & Main Surgicenter LLC
Oak Main Surgicenter LLC
$476.00Published rateAffiliated Ambulatory Surgery Center LLC
Affiliated Ambulatory Surgery Center, LLC
$50.00Published rate
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See a sample payer proposalCPT 44143 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44143 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 44143 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 |
|---|---|---|
| 44143-CPT | High | Surgery To Remove Colon, Surgery To Remove A Part Or All Of The Colon (Large Intestine). Waste Is Removed Through An Opening In The Belly Created In Surgery (Stoma). |
| 44144-CPT | High | Surgery To Remove Colon, Surgery To Remove A Part Or All Of The Colon (Large Intestine). Waste Is Removed Through An Opening In The Belly Created In Surgery (Stoma). |
| 44145-CPT | High | Colectomy Partial; W/ Coloproctostomy (Low Pelvic Anastomsis), Colectomy Partial; With Coloproctostomy (Low Pelvic Anastomosis) |
| 44146-CPT | High | Surgery To Remove Colon, Surgery To Remove A Part Or All Of The Colon (Large Intestine). Waste Is Removed Through An Opening In The Belly Created In Surgery (Stoma). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44143. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44143 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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