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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 22 - On Campus Outpatient Hospital |
| Common Modifiers | GC - Service performed by resident under supervision AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | $1,139.64 national non-facility rate (2026) · View Medicare rates for 44188 |
| Medicaid Fee Schedule | $900.925 median of the 8 states in the free preview · View Medicaid rates for 44188 |
National average reimbursement for CPT 44188 by major payers:

$1,465.97

$1,623.19

$1,735.32

$1,965.00
Choose a payer to see a sample of rates for CPT 44188.
South Emerson Surgery Center, LLC
Fvosa Surgical Partners, LLC, Orthopedic & Sports Surgery Center
Fvosa Surgical Partners, LLC
Metro Surgery Center, LLC, Metro Surgery Center, Lp
Metro Surgery Center LLC
Surgery Center Of Lancaster, Lp
Surgery Center Of Lancaster, Lp.
Orthopaedic Associates Surgery Center, LLC
Orthopaedic Associates Surgery Ctr, 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 44188 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44188 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 44188 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. |
| 44208-CPT | High | Colon Removal With Scope, Surgery Aided By A Scope (Laparoscope) To Remove Part Of The Intestine (Colon). The Procedure Also Creates An Opening In The Abdomen For Draining Waste. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44188. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44188 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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