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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 22 - On Campus Outpatient Hospital |
| Common Modifiers | 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $739.83 national non-facility rate (2026) · View Medicare rates for 44800 |
| Medicaid Fee Schedule | $581.86 median of the 8 states in the free preview · View Medicaid rates for 44800 |
National average reimbursement for CPT 44800 by major payers:

$979.38

$1,021.08

$1,083.80

$1,235.36
Choose a payer to see a sample of rates for CPT 44800.
Indiana Endoscopy Centers LLC, Indiana Endoscopy Center
Ophthalmology Ltd Eye Surgery Center LLC
Ophthalmology, Ltd Eye Surgery Center
Lake Country Endoscopy Center, LLC
Lake Country Endoscopy Center LLC
Lakewood Asc, LLC
Lakewood Asc LLC
The Overland Park Ks Endoscopy Asc LLC, Endoscopic Imaging Center
The Overland Park Ks Endoscopy Asc LLC
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 44800 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44800 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 44800 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 |
|---|---|---|
| 44799-CPT | Moderate | Unlisted Procedure Small Inte, Unlisted Procedure Small Intestine |
| 44800-CPT | Moderate | Xcision Of Meckels Dverticulum (Diverticulctomy)/Omphalomesente, Excision Of Meckels Diverticulum (Diverticulectomy) Or Omphalomesente |
| 44820-CPT | High | Remove Bowel Membrane Tumor, Surgery To Remove Abnormal Tissue In The Membrane That Connects The Intestine To The Abdominal Wall. |
| 44850-CPT | Moderate | Surgery On The Intestine Sac, Surgery On The Sac That Holds The Intestines And Supports Them By Attaching To The Inside Of The Abdomen. The Procedure May Include Repair Of A Weak Spot Causing An Outpouching (Diverticulum). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44800. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44800 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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