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See a sample rate comparisonCPT 44316 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.
Ileostomy Continent (Koch)
| 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 | 59 - Distinct Procedural Service 78 - Return to OR - related procedure |
| Complexity Level | High |
| Medicare Fee Schedule | $1,324.35 national non-facility rate (2026) · View Medicare rates for 44316 |
| Medicaid Fee Schedule | $1,031.13 median of the 8 states in the free preview · View Medicaid rates for 44316 |
National average reimbursement for CPT 44316 by major payers:
$1,705.77
$1,872.37
$1,947.85
$2,238.14
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CPT 44316
5 of 25 sample ratesHigher to lower in this preview
Baycare Aurora Kaukauna Surgery Center LLC, Kaukauna Surgery Center
Baycare Aurora Kaukauna Surgery Center LLC
$17,689.00Published rateThe Outpatient Center, LLC, The Outpatient Center Of Boynton Beach, Ltd.
The Outpatient Center Of Boynton Beach, Ltd.
$1,028.00Published rateGrace Surgery Center LLC
$723.00Published rateExecutive Endoscopy, Inc, Endoscopy Center Of San Jose
Executive Endoscopy Inc
$550.00Published rateFullerton Surgery Center Ltd, Fullerton Surgery Center Inc
Fullerton Surgery Center Ltd
$400.00Published rate
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See a sample payer proposalCPT 44316 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44316 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 44316 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 |
|---|---|---|
| 44310-CPT | High | Ileostomy |
| 44312-CPT | Moderate | Revision Of Ileostomy, Release Of Superficial Scar Tissue From Surgically Created Opening Into Lower Small Bowel From Body Wall (Ileostomy) |
| 44314-CPT | High | Revisn Of Ileostomy; Complic (Reconstr In-Depth) (Sepa, Revision Of Ileostomy; Complicated (Reconstruction In-Depth) (Separate |
| 44316-CPT | High | Ileostomy Continent (Koch) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44316. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44316 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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