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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 | 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 44799 |
| Medicaid Fee Schedule | $625.28 median of the 2 states in the free preview · View Medicaid rates for 44799 |
National average reimbursement for CPT 44799 by major payers:

$917.41

$191.20

$3,020.00

$1,259.11
Choose a payer to see a sample of rates for CPT 44799.
Los Gatos Surgical Center, A California Limited Partnership, Endoscopy Center Of Silicon Valley
Vance Thompson Vision Surgery Center Billings, LLC
Palouse Surgery Center, LLC
Palouse Surgery Center LLC
Asc Development Company, LLC
Asc Development Company LLC
Foot And Ankle Center At The Burkland Medical Center Inc.
Foot And Ankle Center At The Burkland Medical Center Inc
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 44799 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44799 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 44799 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 |
| 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. |
| 44799-CPT | Moderate | Unlisted Procedure Small Inte, Unlisted Procedure Small Intestine |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44799. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44799 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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