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See a sample rate comparisonCPT 44392 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.
Colonoscopy & Polypectomy, Removal Of Tissue Abnormalities Tumors Or Polyps Of Large Bowel By Hot Biopsy Forceps Using An Endoscope Inserted Through Surgically Created Opening Into Large Bowel From Body Wall (Colostomy)
| 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 | PT - Colorectal cancer screening test; converted to diagnostic test or other procedure 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $432.21 national non-facility rate (2026) · View Medicare rates for 44392 |
| Medicaid Fee Schedule | $345.13 median of the 8 states in the free preview · View Medicaid rates for 44392 |
National average reimbursement for CPT 44392 by major payers:
$478.78
$522.84
$534.98
$348.82
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CPT 44392
5 of 25 sample ratesHigher to lower in this preview
Conroe Surgery Center 2, LLC
Conroe Surgery Center 2 LLC
$2,480.00Published rateAdventhealth Surgery Center Davenport LLC
$1,233.00Published rateJoel Phelps
Deaconess Hospital Inc
$626.95Published rateBarnet Dulaney Perkins Eye Center, PC, American Vision Partners
Barnet Dulaney Perkins Eye Center PLLC
$489.00Published rateKendra Streicher
Deaconess Hospital Inc
$288.05Published rate
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See a sample payer proposalCPT 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 | Colonoscopy For Foreign Body, Removal Of Foreign Bodies From Large Bowel Using An Endoscope Inserted Through Surgically Created Opening Into Large Bowel From Body Wall (Colostomy) |
| 44392-CPT | Moderate | Colonoscopy & Polypectomy, Removal Of Tissue Abnormalities Tumors Or Polyps Of Large Bowel By Hot Biopsy Forceps Using An Endoscope Inserted Through Surgically Created Opening Into Large Bowel From Body Wall (Colostomy) |
| 44394-CPT | Moderate | Colonoscopy W/Snare, Removal Of Tissue Abnormalities Tumors Or Polyps Of Large Bowel By Snare Using An Endoscope Inserted Through Surgically Created Opening Into Large Bowel From Body Wall (Colostomy) |
| 44602-CPT | High | Suture Of Small Intestine (Ent, Suture Of Small Intestine (Enterorrhaphy) For Perforatedulcer Diverticulum Wound Injury Or Rupture Single Perforation |
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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