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See a sample rate comparisonCPT 44381 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Small Bowel Exam With Scope, An Exam Of The Small Intestine Through An Existing Opening (Stoma) Using A Scope (Endoscopy). The Procedure Uses A Catheter With An Inflatable Balloon To Increase The Diameter Of The Intestine.
| 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 SG - Scene to Hospital ESRD facility |
| Complexity Level | High |
| Medicare Fee Schedule | $1,067.49 national non-facility rate (2026) · View Medicare rates for 44381 |
| Medicaid Fee Schedule | $845.665 median of the 8 states in the free preview · View Medicaid rates for 44381 |
National average reimbursement for CPT 44381 by major payers:
$1,078.57
$1,320.57
$1,269.64
$280.01
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CPT 44381
5 of 25 sample ratesHigher to lower in this preview
Tuscan Surgery Center At Las Colinas, LLC, Tuscan Surgery Center At Las Colinas
$1,955.00Published rateFirst Gi Endoscopy And Surgery Center LLC
$1,275.00Published rateCentral Ohio Endoscopy Center, LLC
Central Ohio Endoscopy Center LLC
$850.00Published rateCarolina Mountain Gastroenterology Endoscopy Center
$560.00Published rateSouth Hills Diagnostic & Treatment Center Lp, South Hills Endoscopy Center
South Hills Diagnostic Treatment Center Lp
$400.00Published rate
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See a sample payer proposalCPT 44381 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44381 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 44381 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 |
|---|---|---|
| 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) |
| 44381-CPT | High | Small Bowel Exam With Scope, An Exam Of The Small Intestine Through An Existing Opening (Stoma) Using A Scope (Endoscopy). The Procedure Uses A Catheter With An Inflatable Balloon To Increase The Diameter Of The Intestine. |
| 44382-CPT | Moderate | Small Bowel Endoscopy, Biopsies Of Small Bowel Using An Endoscope Inserted Through Surgically Created Opening Into Lower Small Bowel From Body Wall (Ileostomy) |
| 44384-CPT | Moderate | Ileoscopy, Through Stoma; Diagnostic, Including Collection Of Specimens By Brushing Or Washing, When Performed, With Placement Of Endoscopic Stent Includes Pre And Post- Di |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44381. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44381 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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