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See a sample rate comparisonCPT 44620 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Close Enterostomy
| 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 | 58 - Staged or related procedure during postoperative period AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | $803.96 national non-facility rate (2026) · View Medicare rates for 44620 |
| Medicaid Fee Schedule | $633.43 median of the 8 states in the free preview · View Medicaid rates for 44620 |
National average reimbursement for CPT 44620 by major payers:
$1,079.94
$1,144.10
$1,241.29
$1,375.64
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CPT 44620
5 of 25 sample ratesHigher to lower in this preview
Basalt Orthopedic Surgery Center, LLC, Bosc
Basalt Orthopedic Surgery Center LLC
$7,969.00Published rateCarondelet St. Mary'S Northwest, LLC, Carondelet Foothills Surgery Center
Camp Lowell Surgery Center
$1,064.00Published rateUrologic Ambulatory Surgery Center, LLC
Urologic Ambulatory Surgery Center LLC
$673.00Published rateNaples Suncoast Surgery Center, LLC
Naples Suncoast Surgery Center LLC
$461.00Published rateNew Jersey Interventional Associates LLC
$150.00Published rate
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See a sample payer proposalCPT 44620 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44620 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 44620 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 |
|---|---|---|
| 44615-CPT | High | Intestinal Stricturoplasty (En, Intestinal Stricturoplasty (Enterotomy And Enterorrhaphy)With Or Without Dilation For Intestinal Obstruction |
| 44620-CPT | High | Close Enterostomy |
| 44625-CPT | High | Closure Of Enterostomy Large, Closure Of Enterostomy Large Or Small Intestine Withresection And Anastomosis Other Than Colorectal |
| 44626-CPT | High | Closure Of Enterostomy Large, Closure Of Enterostomy Large Or Small Intestine Withresection And Colorectal Anastomosis (Eg Closure Of Hartmann Type Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44620. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44620 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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