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See a sample rate comparisonCPT 44211 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.
Lap Colectomy W Proctectomy, Laparoscopy Surgical Colectomy Total Abdominal With Proctectomy With Ileoanal Anastomosis Creation Of Ileal Reservoir S Or J With Loop Ileostomy Includes 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 11 - Office |
| Common Modifiers | 80 - Assistant surgeon AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | $1,927.23 national non-facility rate (2026) · View Medicare rates for 44211 |
| Medicaid Fee Schedule | $1,554.115 median of the 8 states in the free preview · View Medicaid rates for 44211 |
National average reimbursement for CPT 44211 by major payers:
$2,689.31
$2,871.98
$3,026.58
$3,452.75
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CPT 44211
5 of 25 sample ratesHigher to lower in this preview
Ankeny Medical Park Surgery Center Lc
$3,025.12Published rateAdvanced Spine And Pain Surgery Centers LLC
$1,124.00Published rateCitrus Regional Surgery Center Lp
$840.00Published rateBayview Medical Center, Inc, Lmc Ambulatory Surgery Center
$475.00Published rateMid Cities Asc, Lp
$200.00Published rate
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See a sample payer proposalCPT 44211 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44211 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 44211 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 |
|---|---|---|
| 44206-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. |
| 44210-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. |
| 44211-CPT | High | Lap Colectomy W Proctectomy, Laparoscopy Surgical Colectomy Total Abdominal With Proctectomy With Ileoanal Anastomosis Creation Of Ileal Reservoir S Or J With Loop Ileostomy Includes Rectal Mucosectomy When Performed |
| 44212-CPT | High | Colon Removal With Scope, Surgery Aided By A Scope (Laparoscope) To Remove The Large Intestine And Rectum. The Procedure 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 44211. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44211 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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