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See a sample rate comparisonCPT 44346 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.
Revisn Of Colostomy; W/ Rpair Of Paracolostomy Hernia (Sepa P, Revision Of Colostomy; With Repair Of Paracolostomy Hernia (Separate P
| 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 | 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | $1,100.23 national non-facility rate (2026) · View Medicare rates for 44346 |
| Medicaid Fee Schedule | $868.73 median of the 8 states in the free preview · View Medicaid rates for 44346 |
National average reimbursement for CPT 44346 by major payers:
$1,433.57
$1,561.38
$1,653.15
$1,875.97
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CPT 44346
5 of 25 sample ratesHigher to lower in this preview
Texas Health Presbyterian Hospital Dallas
$11,871.00Published rateGcsa Ambulatory Surgery Center, LLC
Gcsa Ambulatory Surgery Center LLC
$3,570.00Published rateFox Valley Orthopaedic Associates, S.C., Fox Valley Orthopaedic Ambulatory Surgical Center
Fox Valley Orthopaedic Associates, S.C.
$2,069.00Published rateCenter For Spine & Pain Medicine PC, Cspm Gsv Asc
Center For Spine And Pain Medici
$1,109.00Published rateBay Area Endoscopy Center Limited Partnership
$360.00Published rate
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See a sample payer proposalCPT 44346 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44346 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 44346 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 |
|---|---|---|
| 44322-CPT | High | Surgery For Colon Opening, Surgery To Create An Opening In The Abdominal Wall For Waste From The Intestines. The Procedure Includes Taking Several Samples Of Tissue For Testing (Biopsies). |
| 44340-CPT | Moderate | Revision Of Colostomy, Release Of Superficial Scar Tissue From Surgically Created Opening Into Large Bowel From Body Wall (Colostomy) Simple |
| 44345-CPT | High | Revisn Of Colostomy; Complic (Reconstr In-Depth) (Sepa, Revision Of Colostomy; Complicated (Reconstruction In-Depth) (Separate |
| 44346-CPT | High | Revisn Of Colostomy; W/ Rpair Of Paracolostomy Hernia (Sepa P, Revision Of Colostomy; With Repair Of Paracolostomy Hernia (Separate P |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44346. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44346 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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