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See a sample rate comparisonCPT 44370 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 Stent, Small Intestinal Endoscopy Enteroscopy Beyond Second Portion Of Duodenum Not Including Ileum With Transendoscopic Stent Placement Includes Predilation
| 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 GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $235.48 national non-facility rate (2026) · View Medicare rates for 44370 |
| Medicaid Fee Schedule | $191.985 median of the 8 states in the free preview · View Medicaid rates for 44370 |
National average reimbursement for CPT 44370 by major payers:
$353.61
$368.10
$389.63
$441.14
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CPT 44370
5 of 25 sample ratesHigher to lower in this preview
Texas Health Spine Surgery Center Alliance LLC
$6,342.00Published rateSouth Kansas City Surgical Center, Lc, South Kansas City Surgicenter
South Kansas City Surgical Center, LLC
$2,825.00Published rateNarrows Surgery Center Ps
Eye M.D.S Of Puget Sound, PLLC
$1,916.00Published rateBethesda Endoscopy Center, LLC
Bethesda Endoscopy Center LLC
$1,427.00Published rateAnderson Endoscopy Center LLC
$597.00Published rate
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See a sample payer proposalCPT 44370 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44370 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 44370 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) |
| 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 |
| 44370-CPT | Moderate | Small Bowel Endoscopy Stent, Small Intestinal Endoscopy Enteroscopy Beyond Second Portion Of Duodenum Not Including Ileum With Transendoscopic Stent Placement Includes Predilation |
| 44372-CPT | Moderate | Small Intestinal Endoscopy En, Small Intestinal Endoscopy Enteroscopy Beyond Secondportion Of Duodenum Not Including Ileum With Placement Of Percutaneous Jejunostomy Tube |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44370. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44370 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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