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See a sample rate comparisonCPT 44820 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.
Remove Bowel Membrane Tumor, Surgery To Remove Abnormal Tissue In The Membrane That Connects The Intestine To The Abdominal Wall.
| 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 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | $808.30 national non-facility rate (2026) · View Medicare rates for 44820 |
| Medicaid Fee Schedule | $626.84 median of the 8 states in the free preview · View Medicaid rates for 44820 |
National average reimbursement for CPT 44820 by major payers:
$1,059.53
$1,111.38
$1,157.93
$1,344.68
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CPT 44820
5 of 25 sample ratesHigher to lower in this preview
Grant Scope Center, LLC, Downtown Endoscopy Center
Grant Scope Center LLC
$13,309.00Published rateCenter For Ambulatory Surgery, LLC, The Center For Ambulatory Surgery
The Center For Ambulatory Surgery LLC
$1,559.00Published rateAlicia Surgery Center LLC
Alicia Surgery Center
$676.00Published rateOral Facial Surgery Center, LLC, Specialty Surgery Center
Oral Facial Surgery Center, Inc.
$500.00Published rateCreekside Surgery Suite
Shahriar Mabourakh, M.D.
$135.00Published rate
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See a sample payer proposalCPT 44820 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44820 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 44820 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 |
|---|---|---|
| 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). |
| 44899-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 44820. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44820 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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