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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 | 21 - Inpatient Hospital |
| Common Modifiers | 51 - Multiple procedures 82 - Assistant surgeon - no qualified resident 80 - Assistant surgeon 62 - Co-Surgeons |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $246.17 national non-facility rate (2026) · View Medicare rates for 44720 |
| Medicaid Fee Schedule | $190.15 median of the 8 states in the free preview · View Medicaid rates for 44720 |
National average reimbursement for CPT 44720 by major payers:

$333.37

$367.09

$375.36

$452.75
Choose a payer to see a sample of rates for CPT 44720.
East Mequon Surgery Center LLC
East Texas Medical Center Carthage, Etmc Carthage
Novamed Surgery Center Of St Peters LLC, St Peters Ambulatory Surgery Center
Novamed Surgery Center Of St Peters LLC
Maryland Surgery Center For Women
Maryland Surgery Center For Women, LLC
Fort Worth Surgical Center Lp
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
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 44720 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44720 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 44720 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 |
|---|---|---|
| 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 |
| 44721-CPT | Moderate | Prep Donor Intestine Artery, Backbench Reconstruction Of Cadaver Or Living Donor Intestine Allograft Prior To Transplantation Arterial 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 44720. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44720 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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