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See a sample rate comparisonCPT 44373 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 Conversion Of Percutaneous Gastrostomy Tube To Percutaneous Jejunostomy Tube
| 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 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $170.35 national non-facility rate (2026) · View Medicare rates for 44373 |
| Medicaid Fee Schedule | $137.88 median of the 8 states in the free preview · View Medicaid rates for 44373 |
National average reimbursement for CPT 44373 by major payers:
$260.29
$267.32
$282.41
$320.33
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CPT 44373
5 of 25 sample ratesHigher to lower in this preview
Saint Lukes South Pain Management Center LLC
$3,105.00Published rateMid-State Endoscopy Center LLC
Midstate Endoscopy Center LLC
$1,179.00Published ratePain Diagnostic And Treatment Center Lp
Pain Diagnostic And Treatment Center, Lp
$830.00Published rateInnovative Surgery Center, LLC
Innovative Surgery Center LLC
$553.00Published rateHot Springs Ambulatory Surgery Center, LLC
Hot Springs Ambulatory Surgery Center LLC
$404.00Published rate
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See a sample payer proposalCPT 44373 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44373 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 44373 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 |
|---|---|---|
| 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 |
| 44373-CPT | Moderate | Small Bowel Endoscopy, Small Intestinal Endoscopy Enteroscopy Beyond Second Portion Of Duodenum Not Including Ileum With Conversion Of Percutaneous Gastrostomy Tube To Percutaneous Jejunostomy Tube |
| 44376-CPT | Moderate | Small Bowel Endoscopy, Small Intestinal Endoscopy Enteroscopy Beyond Second Portion Of Duodenum Including Ileum Diagnostic With Or Without Collection Of Specimen S By Brushing Or Washing Separate Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44373. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44373 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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