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See a sample rate comparisonCPT 44227 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.
Close Opening Into Intestine, Surgery Aided By A Scope (Laparoscope). The Procedure Closes An Opening Through The Abdomen To The Intestines (Stoma) Created In A Previous Surgery.
| 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 | 22 - Increased Procedural Services AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | $1,519.41 national non-facility rate (2026) · View Medicare rates for 44227 |
| Medicaid Fee Schedule | $1,196.39 median of the 8 states in the free preview · View Medicaid rates for 44227 |
National average reimbursement for CPT 44227 by major payers:
$2,008.05
$2,224.98
$2,352.92
$2,668.32
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CPT 44227
5 of 25 sample ratesHigher to lower in this preview
Stone Oak Surgicenter, LLC
$2,732.00Published rateNorthwest Ambulatory Surgery Center LLC, Northwest Ambulatory Surgery Center
Northwest Ambulatory Surgery Center LLC
$1,016.00Published rateSurgery Center Of San Diego, LLC
Surgery Center Of San Diego LLC
$625.00Published rateBarnet Dulaney Perkins Eye Center, PC, Bdpec Asc Safford
Barnet Dulaney Perkins Eye Center PLLC
$492.00Published rateSouthwest Endoscopy LLC
$100.00Published rate
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See a sample payer proposalCPT 44227 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44227 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 44227 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 |
|---|---|---|
| 44121-CPT | Moderate | Surgery On Intestines, Surgery To Remove A Section Of The Intestines. The Procedure Attaches The Resulting Open Ends Together And May Include Additional Reconstruction Of The Structures. |
| 44128-CPT | Moderate | Enterectomy Cong Add On, Enterectomy Resection Of Small Intestine For Congenital Atresia Single Resection And Anastomosis Of Proximal Segment Of Intestine Each Additional Resection And Anastomosis List Separately In Addition To Code For Primary Procedure |
| 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. |
| 44227-CPT | High | Close Opening Into Intestine, Surgery Aided By A Scope (Laparoscope). The Procedure Closes An Opening Through The Abdomen To The Intestines (Stoma) Created In A Previous Surgery. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44227. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44227 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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