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See a sample rate comparisonCPT 44238 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.
Unlisted Laparoscopy Procedure, Intestine (Except Rectum)
| 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 | View Medicare rates for 44238 |
| Medicaid Fee Schedule | $1,712.32 median of the 5 states in the free preview · View Medicaid rates for 44238 |
National average reimbursement for CPT 44238 by major payers:
$1,526.58
$1,001.49
$3,597.13
$2,552.55
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CPT 44238
5 of 25 sample ratesHigher to lower in this preview
Memorial Care Surgical Center At Orange Coast, LLC
Memorial Care Surgical Center At Orange Coast LLC
$13,689.00Published rateOrthopedic Surgery Center Of Green Bay, LLC
Orthopedic Surgery Center Of Green Bay
$5,175.00Published rateWoodhams Laser & Lens Implant Center LLC
Woodhams Laser Lens Implant Center LLC
$2,560.00Published rateFayetteville Asc LLC, North Hills Gastroenterology Endoscopy Center
Fayetteville Asc LLC
$1,649.00Published rateNorth Houston Endoscopy & Surgery
North Houston Endoscopy Surgery
$819.00Published rate
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See a sample payer proposalCPT 44238 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44238 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 44238 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. |
| 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. |
| 44238-CPT | High | Unlisted Laparoscopy Procedure, Intestine (Except Rectum) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44238. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44238 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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