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See a sample rate comparisonCPT 44850 Fee Schedule
Last Verified: October 2026
Healthcare 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.
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).
| 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 | Moderate |
| Medicare Fee Schedule | $709.44 national non-facility rate (2026) · View Medicare rates for 44850 |
| Medicaid Fee Schedule | $556.965 median of the 8 states in the free preview · View Medicaid rates for 44850 |
National average reimbursement for CPT 44850 by major payers:
$937.85
$990.11
$1,040.04
$1,193.55
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CPT 44850
5 of 25 sample ratesHigher to lower in this preview
Wisconsin Surgery Center LLC
Wisconsin Surgery Center, LLC
$16,050.00Published rateBaptist Beaches Surgery Center LLC, Horizon Surgery Center Beaches
Baptist Beaches Surgery Center LLC
$1,070.00Published rateGreeley Endoscopy Center, LLC, Northern Colorado Endoscopy Center
Greeley Endoscopy Center LLC
$825.00Published rateMiddleburg Surgery Center LLC
$400.00Published rateAsc Development Company, LLC
Asc Development Company LLC
$63.00Published rate
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See a sample payer proposalCPT 44850 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44850 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 44850 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 |
|---|---|---|
| 44680-CPT | High | Intestinal Plication Separate Procedure |
| 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 44850. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44850 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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