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See a sample rate comparisonCPT 44404 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/Injection, Injections Beneath Lining Of Large Bowel 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 | 59 - Distinct Procedural Service PT - Colorectal cancer screening test; converted to diagnostic test or other procedure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $465.61 national non-facility rate (2026) · View Medicare rates for 44404 |
| Medicaid Fee Schedule | $374.055 median of the 8 states in the free preview · View Medicaid rates for 44404 |
National average reimbursement for CPT 44404 by major payers:
$493.21
$552.02
$556.67
$332.21
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CPT 44404
5 of 25 sample ratesHigher to lower in this preview
Foundation Surgery Affiliate Of Fort Wayne, LLC, Parkview Southwest Surgery Center
Foundation Surgery Affiliates Of Fw Inverness Surgery Center
$3,979.00Published rateTenn Sm LLC
$1,276.00Published ratePrisma Health Ambulatory Surgery Centers-Midlands, LLC, Prisma Health Orthopedic Surgery Center
Prisma Health Ambulatory Surgery Centersmidlands LLC
$864.00Published rateMountain Laurel Surgery Center L.L.C.
Mountain Laurel Surgery Center, LLC
$642.00Published rateDowntown Baltimore Surgery Center, LLC
Downtown Baltimore Surgery Center LLC
$376.00Published rate
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See a sample payer proposalCPT 44404 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44404 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 44404 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 |
|---|---|---|
| 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) |
| 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 |
| 44403-CPT | Moderate | Colonoscopy W/Resection, Removal Of Lining Of Large Bowel Using An Endoscope Inserted Through Surgically Created Opening Into Large Bowel From Body Wall (Colostomy) |
| 44404-CPT | Moderate | Colonoscopy W/Injection, Injections Beneath Lining 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 44404. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44404 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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