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See a sample rate comparisonCPT 44155 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.
Remove Colon Create Opening, Surgery To Remove The Colon And The Rectum. Waste Is Expelled Through A Surgically Created Artificial Opening In The Abdominal Wall (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 11 - Office 23 - Emergency Room |
| Common Modifiers | 22 - Increased Procedural Services GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | $1,920.22 national non-facility rate (2026) · View Medicare rates for 44155 |
| Medicaid Fee Schedule | $1,501.725 median of the 8 states in the free preview · View Medicaid rates for 44155 |
National average reimbursement for CPT 44155 by major payers:
$2,535.46
$2,732.94
$2,914.80
$3,283.42
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CPT 44155
5 of 25 sample ratesHigher to lower in this preview
Thr/Stt Southlake Asc, LLC
Thrstt Southlake Asc LLC
$6,068.00Published rateCentral Delaware Endoscopy Unit LLC
$1,064.00Published rateFresno Ca Multi Asc Lp, Herndon Surgery Center
Fresno Ca Multi Asc
$650.00Published rateMississippi Coast Endoscopy & Ambulatory Center LLC, Mississippi Coast Endoscopy & Ambulatory Surgical
Mississippi Coast Endoscopy And Ambulatory Center, LLC
$275.00Published rateTampa Fl Endoscopy Asc LLC, Tampa Bay Endoscopy Center
Tampa Fl Endoscopy Asc LLC
$50.00Published rate
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See a sample payer proposalCPT 44155 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44155 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 44155 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 |
|---|---|---|
| 44155-CPT | High | Remove Colon Create Opening, Surgery To Remove The Colon And The Rectum. Waste Is Expelled Through A Surgically Created Artificial Opening In The Abdominal Wall (Stoma). |
| 44156-CPT | High | Removal Of Colon/Ileostomy, Removal Of Large Bowel And Rectum And Creation Of Opening From End Of Small Intestine Through Wall Of Abdomen With Small Intestinal Reservoir For Feces |
| 44157-CPT | High | Remove Colon Create Opening, Surgery To Remove The Colon And The Rectum. Waste Is Expelled Through A Surgically Created Artificial Opening In The Abdominal Wall (Stoma). |
| 44158-CPT | High | Colectomy W Neo Rectum Pouch, Colectomy Total Abdominal With Proctectomy With Ileoanal Anastomosis Creation Of Ileal Reservoir S Or J Includes Loop Ileostomy And Rectal Mucosectomy When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44155. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44155 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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