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See a sample rate comparisonCPT 44158 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.
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
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 19 - Off Campus Outpatient Hospital |
| Common Modifiers | 80 - Assistant surgeon 82 - Assistant surgeon - no qualified resident |
| Complexity Level | High |
| Medicare Fee Schedule | $2,091.23 national non-facility rate (2026) · View Medicare rates for 44158 |
| Medicaid Fee Schedule | $1,629.77 median of the 8 states in the free preview · View Medicaid rates for 44158 |
National average reimbursement for CPT 44158 by major payers:
$2,814.95
$2,986.82
$3,078.11
$3,574.95
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CPT 44158
5 of 25 sample ratesHigher to lower in this preview
Bayside Ambulatory Center, LLC
$2,732.00Published rateSouthwest Surgical Center LLC
Southwest Surgical Center, LLC
$1,352.00Published rateBarbour Orthopaedics Surgery Center, LLC
Barbour Orthopaedics Surgery Center LLC
$725.00Published rateSurgical Specialty Center Of Northeastern Pennsylvania, LLC
Surgical Specialty Center Of N
$557.00Published rateMount Dora Ophthalmology Asc LLC, Mid Florida Surgery Center
Mount Dora Ophthalmology Asc LLC
$163.00Published rate
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See a sample payer proposalCPT 44158 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44158 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 44158 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 44158. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44158 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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