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See a sample rate comparisonCPT 44187 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.
Intestine Surgery With Scope, Surgery Aided By A Scope (Laparoscope) To Create An Opening Into The Intestines. The Opening Typically May Be Used For Feeding Decompression Or Drainage.
| 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 | 51 - Multiple procedures AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | $1,024.74 national non-facility rate (2026) · View Medicare rates for 44187 |
| Medicaid Fee Schedule | $815.255 median of the 8 states in the free preview · View Medicaid rates for 44187 |
National average reimbursement for CPT 44187 by major payers:
$1,325.91
$1,462.52
$1,577.09
$1,776.02
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CPT 44187
5 of 25 sample ratesHigher to lower in this preview
Franconia-Springfield Surgery Center, LLC, Inova Surgery Center @ Franconia-Springfield
Inova Ambulatory Surgical Centers
$3,786.00Published rateThe Outpatient Center, LLC, The Outpatient Center Of Boynton Beach, Ltd.
The Outpatient Center Of Boynton Beach, Ltd.
$1,049.00Published rateSurgcenter Of Western Maryland, LLC
$644.00Published rateFresenius Vascular Care Dayton Asc LLC
$375.00Published rateRoc-Asc, LLP
Rocasc LLP
$136.00Published rate
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See a sample payer proposalCPT 44187 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44187 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 44187 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 |
|---|---|---|
| 44186-CPT | Moderate | Intestine Surgery With Scope, Surgery Aided By A Scope (Laparoscope) To Create An Opening Into The Intestines. The Opening Typically May Be Used For Feeding Decompression Or Drainage. |
| 44187-CPT | High | Intestine Surgery With Scope, Surgery Aided By A Scope (Laparoscope) To Create An Opening Into The Intestines. The Opening Typically May Be Used For Feeding Decompression Or Drainage. |
| 44188-CPT | High | Intestine Surgery With Scope, Surgery Aided By A Scope (Laparoscope) To Create An Opening Into The Intestines. The Opening Typically May Be Used For Feeding Decompression Or Drainage. |
| 44203-CPT | Moderate | Intestine Removal With Scope, Surgery Aided By A Scope (Laparoscope) To Remove A Section Of The Intestines. The Procedure Reattaches The Resulting Open Ends Of The Intestines. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44187. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44187 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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