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See a sample rate comparisonCPT 44389 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.
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).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service PT - Colorectal cancer screening test; converted to diagnostic test or other procedure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $457.59 national non-facility rate (2026) · View Medicare rates for 44389 |
| Medicaid Fee Schedule | $358.395 median of the 8 states in the free preview · View Medicaid rates for 44389 |
National average reimbursement for CPT 44389 by major payers:
$472.71
$528.58
$590.53
$304.87
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CPT 44389
5 of 25 sample ratesHigher to lower in this preview
Lubbock County Hospital District, University Medical Center
Lubbock County Hospital District
$2,573.00Published rateMid Rivers Ambulatory Surgery Center Lp, Mid Rivers Surgery Center
Mid Rivers Ambulatory Surgery Center Lp
$1,400.00Published rateColima Endoscopy Center Inc, Colima Endoscopy Center
Colima Endoscopy Center, Inc.
$680.00Published rateWebster Outpatient Surgery Center, LLC, Webster Outpatient Surgery Center
Webster Outpatient Surgery Center LLC
$580.00Published rateVirginia Latouche
Deaconess Hospital Inc
$312.30Published rate
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See a sample payer proposalCPT 44389 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44389 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 44389 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 |
|---|---|---|
| 44388-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). |
| 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). |
| 44391-CPT | Moderate | Colonoscopy For Bleeding, Control Of Bleeding Of Large Bowel Using An Endoscope Inserted Through Surgically Created Opening Into Large Bowel From Body Wall (Colostomy) |
| 44401-CPT | High | Colonoscopy With Ablation, Destruction Of Tissue Abnormalities Tumors Or Polyps Of Large Bowel Using An Endoscope Inserted Through Surgically Created Opening Into Large Bowel From Body Wall (Colostomy) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44389. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44389 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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