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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital |
| Common Modifiers | 22 - Increased Procedural Services AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | $2,147.68 national non-facility rate (2026) · View Medicare rates for 44156 |
| Medicaid Fee Schedule | $1,663.15 median of the 8 states in the free preview · View Medicaid rates for 44156 |
National average reimbursement for CPT 44156 by major payers:

$2,813.38

$3,039.12

$3,149.96

$3,703.85
Choose a payer to see a sample of rates for CPT 44156.
Summit Surgical Center, LLC
Leonardtown Surgery Center LLC
Leonardtown Surgery Center, LLC
Arlington Heights Surgery Center, LLC
Arlington Heights Surgery Center LLC
Northeast Atlanta Vascular Care, LLC
Northeast Atlanta Vascular Care LLC
Digestive Health Specialists Endoscopy Center Arizona, LLC
Digestive Health Specialists Endoscopy Center Arizona LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 44156 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44156 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 44156 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 |
|---|---|---|
| 44150-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). |
| 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 44156. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44156 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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