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See a sample rate comparisonCPT 44378 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 With Control Of Bleeding Eg Injection Bipolar Cautery Unipolar Cautery Laser Heater Probe Stapler Plasma Coagulator
| 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 XS - Separate Structure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $335.01 national non-facility rate (2026) · View Medicare rates for 44378 |
| Medicaid Fee Schedule | $274.825 median of the 8 states in the free preview · View Medicaid rates for 44378 |
National average reimbursement for CPT 44378 by major payers:
$525.95
$533.04
$565.31
$636.24
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CPT 44378
5 of 25 sample ratesHigher to lower in this preview
Rocky Mountain Surgery Center LLC
Rocky Mountain Surgery Center, LLC
$1,886.00Published rateCentury Surgical Associates, Inc
$998.00Published rateKiller Bees LLC, Bluegrass Surgery And Laser Center
$629.00Published rateCentinela Valley Endoscopy Center Inc.
Centinela Valley Endoscopy Center Inc
$498.00Published ratePhysicians Surgery Center LLC
$298.00Published rate
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See a sample payer proposalCPT 44378 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44378 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 44378 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 |
|---|---|---|
| 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 |
| 44378-CPT | Moderate | Small Bowel Endoscopy, Small Intestinal Endoscopy Enteroscopy Beyond Second Portion Of Duodenum Including Ileum With Control Of Bleeding Eg Injection Bipolar Cautery Unipolar Cautery Laser Heater Probe Stapler Plasma Coagulator |
| 44379-CPT | Moderate | Small Intestinal Endoscopy En, Small Intestinal Endoscopy Enteroscopy Beyond Secondportion Of Duodenum Including Ileum With Transendoscopic Stent Placement (Includes Predilation) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44378. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44378 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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