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See a sample rate comparisonCPT 44402 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 Through Stoma; Diagnostic, Including Collection Of Specimenss By Brushing Or Washing When Performed, With Endoscopic Stent Placement Including Pre And Post-Dil
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 51 - Multiple procedures 78 - Return to OR - related procedure 58 - Staged or related procedure during postoperative period 52 - Reduced Services GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $229.13 national non-facility rate (2026) · View Medicare rates for 44402 |
| Medicaid Fee Schedule | $186.65 median of the 8 states in the free preview · View Medicaid rates for 44402 |
National average reimbursement for CPT 44402 by major payers:
$380.22
$358.81
$364.41
$434.01
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CPT 44402
5 of 25 sample ratesHigher to lower in this preview
St. David'S Healthcare Partnership, L.P., LLP, St. David'S Medical Center
$5,398.00Published rateAmbulatory Surgical Center Of Somerville LLC, Somerset Ambulatory Surgical Center
$1,945.00Published rateMedical Heights Surgery Center, Inc., Kentucky Surgery Center
Baptist Health Surgery Center, L
$1,286.00Published rateEvergreen Eye Center, PLLC, Eye Associates Northwest Surgery Center
Eye Associates Northwest, PLLC
$600.00Published rateSwagel-Wootton Eye Center, Inc, Eye Surgery Center Of Arizona
Swagel/Wootton Eye Center, Ltd.
$357.00Published rate
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See a sample payer proposalCPT 44402 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44402 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 44402 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) |
| 44402-CPT | Moderate | Colonoscopy Through Stoma; Diagnostic, Including Collection Of Specimenss By Brushing Or Washing When Performed, With Endoscopic Stent Placement Including Pre And Post-Dil |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44402. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44402 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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