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See a sample rate comparisonCPT 44369 Fee Schedule
Last Verified: October 2026
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.
Small Bowel Endoscopy, Small Intestinal Endoscopy Enteroscopy Beyond Second Portion Of Duodenum Not Including Ileum With Ablation Of Tumor S Polyp S Or Other Lesion S Not Amenable To Removal By Hot Biopsy Forceps Bipolar Cautery Or Snare Technique
| 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 | GC - Service performed by resident under supervision 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $215.77 national non-facility rate (2026) · View Medicare rates for 44369 |
| Medicaid Fee Schedule | $191.19 median of the 8 states in the free preview · View Medicaid rates for 44369 |
National average reimbursement for CPT 44369 by major payers:
$327.55
$342.41
$368.98
$409.70
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CPT 44369
5 of 25 sample ratesHigher to lower in this preview
Prohealth Aligned LLC, Prohealth Care Moreland Surgery Center
Prohealth Aligned LLC
$1,829.00Published rateEndoscopy Center At Robinwood, LLC
Endoscopy Center At Robinwood LLC
$898.00Published rateHendi Ambulatory Surgery Center, PC
Hendi Ambulatory Surgery Center PC
$717.00Published rateTeredesai Mccann & Associates PC, Tma Vascular Access Center
Teredesai Mccann & Associates, P.C.
$524.00Published rateEyecare Surgery Center, LLC
Eyecare Surgery Center LLC
$266.00Published rate
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See a sample payer proposalCPT 44369 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44369 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 44369 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) |
| 44365-CPT | Moderate | Small Bowel Endoscopy, Small Intestinal Endoscopy Enteroscopy Beyond Second Portion Of Duodenum Not Including Ileum With Removal Of Tumor S Polyp S Or Other Lesion S By Hot Biopsy Forceps Or Bipolar Cautery |
| 44366-CPT | Moderate | Small Bowel Endoscopy, Small Intestinal Endoscopy Enteroscopy Beyond Second Portion Of Duodenum Not Including Ileum With Control Of Bleeding Eg Injection Bipolar Cautery Unipolar Cautery Laser Heater Probe Stapler Plasma Coagulator |
| 44369-CPT | Moderate | Small Bowel Endoscopy, Small Intestinal Endoscopy Enteroscopy Beyond Second Portion Of Duodenum Not Including Ileum With Ablation Of Tumor S Polyp S Or Other Lesion S Not Amenable To Removal By Hot Biopsy Forceps Bipolar Cautery Or 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 44369. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44369 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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