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See a sample rate comparisonCPT 44213 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
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.
| 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 80 - Assistant surgeon |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $165.00 national non-facility rate (2026) · View Medicare rates for 44213 |
| Medicaid Fee Schedule | $129.99 median of the 8 states in the free preview · View Medicaid rates for 44213 |
National average reimbursement for CPT 44213 by major payers:
$223.41
$254.43
$268.49
$312.01
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CPT 44213
5 of 25 sample ratesHigher to lower in this preview
Ambulatory Surgery Center Of Cool Springs LLC, Vanderbilt Surgery Center Cool Springs
Ambulatory Surgery Center Of Cool Springs LLC
$3,013.00Published rateNorth Atlantic Surgical Suites, LLC
$936.00Published rateCenter For Special Surgery LLC
$750.00Published rateFlorida Endoscopy And Surgery Center, LLC, Florida Endoscopy & Surgery Center
Florida Endoscopy And Surgery Center, LLC
$509.00Published rateUnion Surgery Center, Inc, Advanced Endoscopy Center
Union Surgery Center Inc
$261.00Published rate
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See a sample payer proposalCPT 44213 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44213 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 44213 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 |
|---|---|---|
| 44139-CPT | Low | Remove Bend In Colon, Surgery To Remove The Splenic Flexure (Bend In The Colon Where The Descending Colon Joins The Transverse Colon). The Healthy Segments Of The Colon Are Reconnected. |
| 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. |
| 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 44213. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44213 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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