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See a sample rate comparisonCPT 44394 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 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)
| 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 | PT - Colorectal cancer screening test; converted to diagnostic test or other procedure 33 - Preventive Services |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $483.65 national non-facility rate (2026) · View Medicare rates for 44394 |
| Medicaid Fee Schedule | $388.145 median of the 8 states in the free preview · View Medicaid rates for 44394 |
National average reimbursement for CPT 44394 by major payers:
$554.19
$599.03
$641.11
$396.89
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CPT 44394
5 of 25 sample ratesHigher to lower in this preview
North Garland Surgery Center LLP, Baylor Scott & White Surgicare - North Garland
North Garland Surgery Center LLP
$1,955.00Published rateUrology Asc- Phoenix, LLC, Urologic Surgery Center Of Arizona
$1,276.00Published rateParkway Surgery Center
Parkway Surgery Center, LLC
$873.00Published rateCenter For Assisted Reproduction Laboratory And Surgery Center, Inc.
Center For Assisted Reproduction Laboratory And Surgery Center Inc
$645.00Published rateFoot And Ankle Center At The Burkland Medical Center Inc.
Foot And Ankle Center At The Burkland Medical Center Inc
$268.00Published rate
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See a sample payer proposalCPT 44394 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44394 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 44394 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 44394. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44394 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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