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See a sample rate comparisonHealthcare 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 | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $260.86 national non-facility rate (2026) · View Medicare rates for 44377 |
| Medicaid Fee Schedule | $212.35 median of the 8 states in the free preview · View Medicaid rates for 44377 |
National average reimbursement for CPT 44377 by major payers:

$418.83

$415.06

$436.27

$496.32
Choose a payer to see a sample of rates for CPT 44377.
Walnut Hill Surgery Center, LLC
Walnut Hill Surgery Center LLC
Nhpe, LLC, New Hyde Park Endoscopy
Mentor Surgery Center Ltd
Mentor Surgery Center,Ltd
Mission Surgery Center, Inc.
Mississippi Urology Outpatient Surgery Center, LLC
Mississippi Urology Clinic, PLLC
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 44377 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44377 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 44377 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 44377. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44377 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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