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See a sample rate comparisonCPT 44380 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 Br/Wa, Diagnostic Examination Of Small Bowel Using An Endoscope Inserted Through Surgically Created Opening Into Lower Small Bowel From Body Wall (Ileostomy)
| 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 | Low |
| Medicare Fee Schedule | $223.79 national non-facility rate (2026) · View Medicare rates for 44380 |
| Medicaid Fee Schedule | $175.41 median of the 8 states in the free preview · View Medicaid rates for 44380 |
National average reimbursement for CPT 44380 by major payers:
$173.94
$189.08
$241.63
$109.77
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CPT 44380
5 of 25 sample ratesHigher to lower in this preview
Reston Surgery Center, Lp
Reston Surgery Center Lp
$2,807.00Published rateSurgical Specialty Center Of Mid Atlantic, LLC
Surgical Specialty Center Of Mid-Atlantic, LLC
$1,476.00Published rateHsc Surgical Associates Of Cincinnati, LLC, Tri State Endoscopy Center
Hsc Surgical Associates Of Cincinnati, LLC
$742.00Published rateThousand Oaks Surgery Center, LLC
Thousand Oaks Surgery Center LLC
$580.00Published rateTgh Surgery Center At Morsani, LLC, Tgh Surgery Center
$444.00Published rate
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See a sample payer proposalCPT 44380 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44380 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 44380 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 |
| 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) |
| 44380-CPT | Low | Small Bowel Endoscopy Br/Wa, Diagnostic Examination Of Small Bowel Using An Endoscope Inserted Through Surgically Created Opening Into Lower Small Bowel From Body Wall (Ileostomy) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44380. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44380 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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