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See a sample rate comparisonCPT 44160 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 Part Of The Colon And The Last Part Of Ileum. Waste Is Expelled Through An Artificial Surgically Created Internal Or External Opening That Connects The Ileum And The Colon.
| 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 | GC - Service performed by resident under supervision 22 - Increased Procedural Services |
| Complexity Level | High |
| Medicare Fee Schedule | $1,157.34 national non-facility rate (2026) · View Medicare rates for 44160 |
| Medicaid Fee Schedule | $907.93 median of the 8 states in the free preview · View Medicaid rates for 44160 |
National average reimbursement for CPT 44160 by major payers:
$1,433.70
$1,650.50
$1,793.21
$1,977.00
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CPT 44160
5 of 25 sample ratesHigher to lower in this preview
North Coast Surgery Center Ltd
$7,071.00Published rateHaymarket Surgery Center, LLC
Haymarket Surgery Center
$1,049.00Published rateSt George Endoscopy Center LLC, St. George Endoscopy Center
St George Endoscopy Center LLC
$624.00Published rateFort Myers Endoscopy Center LLC
$300.00Published rateAccess Care Physicians Of Nj LLC
$150.00Published rate
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See a sample payer proposalCPT 44160 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44160 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 44160 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 |
|---|---|---|
| 44151-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). |
| 44160-CPT | High | Remove Colon Create Opening, Surgery To Remove Part Of The Colon And The Last Part Of Ileum. Waste Is Expelled Through An Artificial Surgically Created Internal Or External Opening That Connects The Ileum And The Colon. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44160. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44160 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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