CPT 44361 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Surgery • Surgical Procedures on the Digestive System |
| Common Place of Service | • 24 - Ambulatory Surgical Center • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • 59 - Distinct Procedural Service • 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 44361 |
National average reimbursement for CPT 44361 by major payers:
$228.51
$221.79
$243.70
$271.84
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 44361 | ||||||
United | 44361 | $423.00 | 1831167329 - THIBODAUX ENDOSCOPY LLC | 810548522 - (LA) THIBODAUX ENDOSCOPY, L.L.C. | LA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 44361 | $3600.00 | 1538382239 - MEMORIAL HERMANN HEALTH SYSTEM, MEMORIAL HERMANN MEMORIAL CITY CICD | 741152597 - (TX) MEMORIAL HERMANN HEALTH SYSTEM | TX | General Acute Care Hospital (282N00000X) |
United | 44361 | $1586.00 | 1356320873 - EAST TEXAS MEDICAL CENTER ATHENS | 823934511 | TX | General Acute Care Hospital (282N00000X) |
United | 44361 | $4633.00 | 1730132234 - MEMORIAL HERMANN HEALTH SYSTEM | 741152597 - (TX) MEMORIAL HERMANN HEALTH SYSTEM | TX | General Acute Care Hospital (282N00000X) |
United | 44361 | $131.11 | 1871124909 - MEHDI ABOUEI | 825359949 | LA | Orthopaedic Surgery Physician (207X00000X) |
United | 44361 | $2623.00 | 1407010622 - CR EMERGENCY ROOM LLC, BAYLOR SCOTT & WHITE EMERGENCY HOSPITAL AUBREY | 262978009 | TX | General Acute Care Hospital (282N00000X) |
United | 44361 | $363.00 | 1588158497 - CALDWELL MEMORIAL HOSPITAL INC, CALDWELL HOSPITAL CLINIC | 720878037 - (LA) CALDWELL MEMORIAL HOSPITAL, INC. | LA | Rural Acute Care Hospital (282NR1301X) |
United | 44361 | $2524.00 | 1902047376 - FLOWER MOUND HOSPITAL PARTNERS, LLC, TEXAS HEALTH PRESBYTERIAN HOSPITAL FLOWER MOUND | 260684968 - (TX) FLOWER MOUND HOSPITAL PARTNERS, LLC DBA TEXAS HEALTH PRESBYTERIAN HOSP | TX | General Acute Care Hospital (282N00000X) |
United | 44361 | $1340.73 | 1124170691 - WILLIS KNIGHTON MEDICAL CENTER, INC., WILLIS KNIGHTON SOUTH HOSPITAL | 720400933 - (LA) WILLIS-KNIGHTON MEDICAL CENTER | LA | General Acute Care Hospital (282N00000X) |
United | 44361 | $2193.00 | 1295890093 - ORTHOPEDIC & SPINE SURGICAL HOSPITAL OF SOUTH TEXAS, L.P., SOUTH TEXAS SPINE & SURGICAL HOSPITAL | 364412922 | TX | General Acute Care Hospital (282N00000X) |
United | 44361 | $3578.00 | 1295745362 - TEXAS HEALTH HARRIS METHODIST HOSPITAL HURST-EULESS-BEDFORD | 751438726 - (TX) TEXAS HEALTH HARRIS METHODIST HOSPITAL HURST-EULESS-BEDFORD | TX | General Acute Care Hospital (282N00000X) |
United | 44361 | $1983.00 | 1699726406 - COLUMBIA MEDICAL CENTER OF PLANO SUBSIDIARY LP, MEDICAL CITY PLANO | 621682203 | TX | General Acute Care Hospital (282N00000X) |
United | 44361 | $287.94 | 1346567146 - JOSEPH BONVILLAIN | 383176457 | LA | Orthopaedic Surgery Physician (207X00000X) |
United | 44361 | $2960.00 | 1447597240 - BAYLOR UNIVERSITY MEDICAL CENTER | 751837454 - (TX) BAYLOR UNIVERSITY MEDICAL CENTER | TX | General Acute Care Hospital (282N00000X) |
United | 44361 | $1940.00 | 1518634864 - VHS SAN ANTONIO PARTNERS, LLC, MISSION TRAIL BAPTIST HOSPITAL | 760714523 | TX | General Acute Care Hospital (282N00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 44361 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44361 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 44361 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 |
|---|---|---|
| 44360-CPT | Low | Small Intestinal Endoscopy Enteroscopy Beyond Second Portion Of Duodenum Not Including Ileum; Diagnostic Including Collection Of Specimen(S) By Brushing Or Washing When Performed (Separate Procedure) (Desc Revised 01/01/15) |
| 44361-CPT | Moderate | Small Intestinal Endoscopy, Enteroscopy Beyond Second Portion Of Duodenum, Not Including Ileum; With Biopsy, Single Or Multiple |
| 44363-CPT | Moderate | Small Intestinal Endoscopy Enteroscopy Beyond Second Portion Of Duodenum Not Including Ileum; Withremoval Of Foreign Body(S) (Desc Revised 01/01/15) |
| 44364-CPT | Moderate | Small Intestinal Endoscopy, Enteroscopy Beyond Second Portion Of Duodenum, Not Including Ileum; With Removal Of Tumor(S), Polyp(S), Or Other Lesion(S) By Snare Technique |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44361. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44361 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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