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See a sample rate comparisonCPT 44500 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.
Intro Of Long Gastrointes Tube (Eg Miller-Abbott) (Sepa, Introduction Of Long Gastrointestinal Tube (Eg Miller-Abbott) (Separa
| 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 | XU - Unusual Non-Overlapping Service 52 - Reduced Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $16.37 national non-facility rate (2026) · View Medicare rates for 44500 |
| Medicaid Fee Schedule | $13.51 median of the 8 states in the free preview · View Medicaid rates for 44500 |
National average reimbursement for CPT 44500 by major payers:
$28.76
$32.56
$31.58
$34.34
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CPT 44500
5 of 25 sample ratesHigher to lower in this preview
The Emory Clinic Inc., Emory Aesthetic Center
Emory University
$3,188.00Published rateSt. Mary'S Surgical Center LLC, St. Mary'S Surgical Center
St Marys Surgical Center LLC
$1,585.00Published rateCentral Illinois Surgery Center, LLC
Decatur Memorial Hospital
$786.00Published rateWhite Oak Surgery Center
$606.00Published rateAshley Thomas
Deaconess Hospital Inc
$16.23Published rate
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See a sample payer proposalCPT 44500 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44500 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 44500 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 |
|---|---|---|
| 44407-CPT | Moderate | Colonoscopy W Ndl Aspir Bx, Colonoscopy Through Stoma With Transendoscopic Ultrasound Guided Intramural Or Transmural Fine Needle Aspiration Biopsy S Includes Endoscopic Ultrasound Examination Limited To The Sigmoid Descending Transverse Or Ascending Colon And Cecum And Adjacent Structures |
| 44408-CPT | Moderate | Colonoscopy W/Decompression, Decompression Of Large Bowel With Ultrasound Guidance Using An Endoscope Inserted Through Surgically Created Opening Into Large Bowel From Body Wall (Colostomy) |
| 44500-CPT | Low | Intro Of Long Gastrointes Tube (Eg Miller-Abbott) (Sepa, Introduction Of Long Gastrointestinal Tube (Eg Miller-Abbott) (Separa |
| 44603-CPT | High | Suture Of Small Intestine (Ent, Suture Of Small Intestine (Enterorrhaphy) For Perforatedulcer Diverticulum Wound Injury Or Rupture Multiple Perforations |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44500. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44500 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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