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See a sample rate comparisonCPT 44385 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.
Endoscopic Evaluation Of Small, Endoscopic Evaluation Of Small Intestinal Pouch (Eg Kock Pouch Ileal Reservoir [S Or J]) Diagnostic Including Collection Of Specimen(S) By Brushing Or Washing When Performed (Separate Procedure)
| 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 | $245.16 national non-facility rate (2026) · View Medicare rates for 44385 |
| Medicaid Fee Schedule | $194.26 median of the 8 states in the free preview · View Medicaid rates for 44385 |
National average reimbursement for CPT 44385 by major payers:
$259.45
$288.28
$327.42
$160.32
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CPT 44385
5 of 25 sample ratesHigher to lower in this preview
Center For Ambulatory Surgery, LLC, The Center For Ambulatory Surgery
The Center For Ambulatory Surgery LLC
$3,157.00Published rateThe Centre LLC
$1,374.00Published rateSurgery Center Of Pembroke Pines, LLC
Surgery Center Of Pembroke
$1,233.00Published rateWhite Oak Surgery Center
$606.00Published rateAlbert Umbach
Deaconess Hospital Inc
$157.82Published rate
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See a sample payer proposalCPT 44385 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44385 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 44385 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 |
|---|---|---|
| 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 |
| 44385-CPT | Moderate | Endoscopic Evaluation Of Small, Endoscopic Evaluation Of Small Intestinal Pouch (Eg Kock Pouch Ileal Reservoir [S Or J]) Diagnostic Including Collection Of Specimen(S) By Brushing Or Washing When Performed (Separate Procedure) |
| 44386-CPT | Moderate | Small Bowel Exam With Scope, Exam Of A Pouch In The Small Intestine Using A Scope (Endoscope). The Procedure May Take A Sample Of Tissue For Testing (Biopsy). |
| 44389-CPT | Moderate | Intestinal Exam (Colonoscopy), An Exam Of The Lower Part Of The Intestine (Colon) Using A Scope (Colonoscopy). The Procedure May Include Collection Of Cells Or Tissue For Testing (Biopsy). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44385. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44385 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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