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See a sample rate comparisonCPT 44680 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.
Intestinal Plication Separate Procedure
| 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 | 59 - Distinct Procedural Service 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | $1,009.38 national non-facility rate (2026) · View Medicare rates for 44680 |
| Medicaid Fee Schedule | $785.92 median of the 8 states in the free preview · View Medicaid rates for 44680 |
National average reimbursement for CPT 44680 by major payers:
$1,397.34
$1,412.82
$1,475.56
$1,701.60
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CPT 44680
5 of 25 sample ratesHigher to lower in this preview
Texas Health Surgery Center Willow Park LLC, Texas Health Orthopedic And Spine Surgery Center
Texas Health Surgery Center Willow Park LLC
$6,068.00Published rateMeadow Lake Surgery Center Inc
$825.00Published ratePacific Cataract And Laser Institute, Inc., P.C.
Pacific Cataract And Laser Institute, Inc., PC
$624.00Published rateDigestive Care Medical Center Inc
Digestive Care Medical Center, Inc.
$479.00Published rateAlbany Surgery Center, LLP
Albany Surgery Center LLP
$261.00Published rate
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See a sample payer proposalCPT 44680 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44680 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 44680 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 |
|---|---|---|
| 44661-CPT | High | Closur Of Enterovesical Fistula; W/ Intest &/Or Bladder Resct, Closure Of Enterovesical Fistula; With Intestine And/Or Bladder Resect |
| 44680-CPT | High | Intestinal Plication Separate Procedure |
| 44700-CPT | High | Suspend Bowel W Prosthesis, Exclusion Of Small Intestine From Pelvis By Mesh Or Other Prosthesis Or Native Tissue Eg Bladder Or Omentum |
| 44705-CPT | Low | Stool Transplant, Healthy Stool Bacteria From A Donor Is Prepared And May Be Transplanted. This Procedure Treats A Variety Of Conditions Including Irritable Bowel Syndrome Constipation And Colitis. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44680. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44680 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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