CPT 44392 Fee Schedule
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.
| 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 | • None • PT - Colorectal cancer screening test; converted to diagnostic test or other procedure • 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| CMS | $375.22 Physician Fee Schedule |
National average reimbursement for CPT 44392 by major payers:
$478.78
$522.84
$534.98
$634.09
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 44392 | ||||||
United | 44392 | $855.00 | 1528462819 - THE ENDOSCOPY CENTER, INC. | 471907162 - (CA) THE ENDOSCOPY CENTER INC | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 44392 | $1176.00 | 1710961800 - NORTH COUNTRY ORTHOPAEDIC AMBULATORY SURGERY CENTER LLC | 731653922 - (NY) NORTH COUNTRY ORTHOPAEDIC AMBULATORY SURGERY CENTER LLC | NY | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 44392 | $580.00 | 1144673526 - MURRIETA VALLEY SURGERY CENTER, INC.A PROFESSIONAL CORPORATION | 813020819 - (CA) MURRIETA VALLEY SURGERY CENTER INCA PROFESSIONAL CORPORATION | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 44392 | $489.00 | 1497727093 - BARNET DULANEY PERKINS EYE CENTER, PC, AMERICAN VISION PARTNERS | 562589722 - BARNET DULANEY PERKINS EYE CENTER PLLC | AZ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 44392 | $3715.00 | 1972254233 - HACKENSACK MUSCULOSKELETAL SURGERY CENTER, LLC | 853437054 - (NJ) HACKENSACK MUSCULOSKELETAL SURGERY CENTER LLC | NJ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 44392 | $2382.00 | 1508169921 - SAINT LUKES-GI DIAGNOSTICS LLC | 274142549 - (MO) SAINT LUKESGI DIAGNOSTICS LLC | MO | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 44392 | $3933.00 | 1033448782 - ENDOSCOPY SURGERY CENTER OF SILICON VALLEY LLC | 942909203 | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 44392 | $2739.00 | 1346235058 - EAST MEQUON SURGERY CENTER LLC | 861075286 - (WI) EAST MEQUON SURGERY CENTER LLC | WI | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 44392 | $580.00 | 1750468583 - TEXAS EYE SURGERY CENTER, LLC | 202928367 - (TX) TEXAS EYE SURGERY CENTER LLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 44392 | $648.00 | 1851516728 - PHOENIX ENDOSCOPY LLC | 710940187 - (AZ) PHOENIX ENDOSCOPY LLC | AZ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 44392 | $1862.00 | 1558524298 - SAINT FRANCIS GI ENDOSCOPY L.L.C | 205540278 - (CT) SAINT FRANCIS GI ENDOSCOPY LLC | CT | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 44392 | $580.00 | 1669540118 - STEVENS KIM MD AND STEPHEN LIN MD MEDICAL GROUP INC, VALLEY LASER SURGERY CENTER, INC. | 203111961 - (CA) STEVENS KIM MD AND STEPHEN LIN MD MEDICAL GROUP INC | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 44392 | $863.00 | 1558785683 - SOUTHERN SPORTS SURGICAL, LLC., INDIAN LAKE SURGERY CENTER | 463690503 - (TN) SOUTHERN SPORTS SURGICAL LLC | TN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 44392 | $1276.00 | 1861071250 - ADVENTHEALTH SURGERY CENTER MILLS PARK LLC, ADVENTHEALTH SURGERY CENTER MILLS PARK | 832780608 - (FL) ADVENTHEALTH SURGERY CENTER MILLS PARK LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 44392 | $412.00 | 1780727636 - UNION SURGERY CENTER, INC, ADVANCED ENDOSCOPY CENTER | 205205858 - (CA) UNION SURGERY CENTER INC | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 44392 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44392 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 44392 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 |
|---|---|---|
| 44390-CPT | Moderate | Removal Of Foreign Bodies From Large Bowel Using An Endoscope Inserted Through Surgically Created Opening From Large Bowel To Skin |
| 44392-CPT | Moderate | Removal Of Growths Or Polyps Of Large Bowel By Electrical Cautery Using An Endoscope Inserted Through Surgically Created Opening From Large Bowel To Skin |
| 44394-CPT | Moderate | Removal Of Growths Or Polyps Of Large Bowel By Mechanical Snare Using An Endoscope Inserted Through Surgically Created Opening Into Large Bowel To Skin |
| 44602-CPT | High | Suture Of Small Intestine (Enterorrhaphy) For Perforated Ulcer, Diverticulum, Wound, Injury, Or Rupture; Single Perforations |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44392. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44392 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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