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See a sample rate comparisonCPT 44376 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 Including Ileum Diagnostic With Or Without Collection Of Specimen S By Brushing Or Washing Separate Procedure
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service GC - Service performed by resident under supervision 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $248.50 national non-facility rate (2026) · View Medicare rates for 44376 |
| Medicaid Fee Schedule | $202.52 median of the 8 states in the free preview · View Medicaid rates for 44376 |
National average reimbursement for CPT 44376 by major payers:
$364.86
$393.81
$409.07
$471.76
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CPT 44376
5 of 25 sample ratesHigher to lower in this preview
Senate Street Surgery Center LLC, Clarian Health Partners Inc Mbr
Senate Street Surgery Center LLC
$2,307.00Published rateOro Valley Surgical Suites LLC
Oro Valley Surgical Suites, LLC
$1,233.00Published rateCesc, LLC
$936.00Published rateAdvanced Surgical & Research Solutions LLC
Advanced Surgical Research Solutions LLC
$530.00Published rateSt Johns Surgery Center LLC
$343.00Published rate
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See a sample payer proposalCPT 44376 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44376 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 44376 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 |
|---|---|---|
| 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 |
| 44377-CPT | Moderate | Small Bowel Endoscopy Biopsy, Small Intestinal Endoscopy Enteroscopy Beyond Second Portion Of Duodenum Including Ileum With Biopsy Single Or Multiple |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44376. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44376 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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