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See a sample rate comparisonCPT 44202 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 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.
| 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 | AS - PA/NP/CNS assistant at surgery 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | $1,288.94 national non-facility rate (2026) · View Medicare rates for 44202 |
| Medicaid Fee Schedule | $1,009.53 median of the 8 states in the free preview · View Medicaid rates for 44202 |
National average reimbursement for CPT 44202 by major payers:
$1,663.84
$1,852.11
$1,991.25
$2,213.12
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CPT 44202
5 of 25 sample ratesHigher to lower in this preview
Emory Ambulatory Surgery Center At Dunwoody, LLC
Emory Ambulatory Surgery Center At Dunwoody LLC
$8,055.00Published rateNorth Valley Orthopedic Surgery Center LLC, The Orthopedic Surgery Center Of Arizona
North Valley Orthopedic Surgery Center LLC
$5,020.00Published rateHigh Desert Surgery Center, L.L.C.
High Desert Surgery Center LLC
$2,733.00Published rateGsi Asc, LLC
Gsi Asc LLC
$1,700.00Published rateBerkshire Cosmetic & Reconstructive Surgery Center Inc.
Berkshire Cosmetic Reconstructive Surgery Center Inc
$784.00Published rate
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See a sample payer proposalCPT 44202 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44202 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 44202 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 |
|---|---|---|
| 44202-CPT | High | 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. |
| 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. |
| 44204-CPT | High | Scope Surgery To Remove Colon, Surgery Aided By A Scope (Laparoscope) To Remove A Section Of The Large Intestine (Colon). The Procedure Involves Reattaching The Resulting Open Ends Of The Intestine. |
| 44213-CPT | Moderate | Scope Surgery To Remove Colon, Surgery Aided By A Scope (Laparoscope) To Remove A Section Of The Large Intestine (Colon). The Procedure Involves Reattaching The Resulting Open Ends Of The Intestine. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44202. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44202 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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