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See a sample rate comparisonCPT 44625 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.
Closure Of Enterostomy Large, Closure Of Enterostomy Large Or Small Intestine Withresection And Anastomosis Other Than Colorectal
| 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 GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | $933.56 national non-facility rate (2026) · View Medicare rates for 44625 |
| Medicaid Fee Schedule | $739.16 median of the 8 states in the free preview · View Medicaid rates for 44625 |
National average reimbursement for CPT 44625 by major payers:
$1,231.32
$1,346.40
$1,485.16
$1,615.81
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CPT 44625
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Fort Worth
Texas Health Harris Methodist Hospital Southwest Fort Worth
$9,124.00Published rateBsc Biltmore LLC
$1,146.00Published rateCenter For Spine Interventions Asc 2
$750.00Published rateBrown Urology, Inc., Collyer Street Operatory
Brown Urology Inc
$534.00Published rateLakeland Fl Endoscopy Asc LLC, Surgery Center Of Lakeland Hills Boulevard
Lakeland Fl Endoscopy Asc LLC
$50.00Published rate
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See a sample payer proposalCPT 44625 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44625 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 44625 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 44625. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44625 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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