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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 44705 |
| Medicaid Fee Schedule | $95.93 median of the 8 states in the free preview · View Medicaid rates for 44705 |
National average reimbursement for CPT 44705 by major payers:

$194.50

$153.62

$152.32

$138.75
Choose a payer to see a sample of rates for CPT 44705.
Burlington County Endoscopy Center LLC
West Side Gi, LLC
Westside Gi Center, LLC
Cesc, LLC
Indiana Pain Centers-Evansville LLC
Indiana Pain Centersevansville LLC
The Surgery & Endoscopy Center LLC
The Surgery Endoscopy Center LLC
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 44705 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44705 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 44705 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 |
|---|---|---|
| 44701-CPT | Moderate | Intraoperat Colonic Lavag (List Sepa In Addition To Code For, Intraoperative Colonic Lavage (List Separately In Addition To Code For |
| 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. |
| 44715-CPT | Moderate | Prepare Donor Intestine, Backbench Standard Preparation Of Cadaver Or Living Donor Intestine Allograft Prior To Transplantation Including Mobilization And Fashioning Of The Superior Mesenteric Artery And Vein |
| 44720-CPT | Moderate | Prep Donor Intestine Venous, Backbench Reconstruction Of Cadaver Or Living Donor Intestine Allograft Prior To Transplantation Venous Anastomosis Each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44705. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44705 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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