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See a sample rate comparisonCPT 44955 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.
Appendectomy When Done For In, Appendectomy When Done For Indicated Purpose At Time Ofother Major Procedure (Not As Separate Procedure) (List Separately In Addition To Code For Primary Procedure)
| 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 | None AS - PA/NP/CNS assistant at surgery 80 - Assistant surgeon |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 44955 |
| Medicaid Fee Schedule | View Medicaid rates for 44955 |
National average reimbursement for CPT 44955 by major payers:
$109.65
$114.09
$124.57
$135.84
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CPT 44955
5 of 25 sample ratesHigher to lower in this preview
Baylor Surgicare At Granbury LLC, Baylor Scott & White Surgicare-Granbury
$1,446.00Published rateMedplex Outpatient Surgery Center Ltd, Medplex Outpatient Surgery Center
Medplex Outpatient Surgery Center Ltd
$531.00Published rateAdvanced Surgical Care Of Wyoming, LLC
Advanced Surgical Care Of Wyoming LLC
$253.00Published rateFertility Lab Sciences Of Minneapolis, LLC
Fertility Lab Sciences Of Minn
$125.00Published rateDigestive Health Specialists, PA
Digestive Health Specialists, P.A.
$35.00Published rate
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See a sample payer proposalCPT 44955 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44955 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 44955 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 |
|---|---|---|
| 44950-CPT | Moderate | Appendectomy |
| 44955-CPT | Low | Appendectomy When Done For In, Appendectomy When Done For Indicated Purpose At Time Ofother Major Procedure (Not As Separate Procedure) (List Separately In Addition To Code For Primary Procedure) |
| 44960-CPT | High | Appendectomy; For Rupture Appendix W/ Absces Or Generaliz Perito, Appendectomy; For Ruptured Appendix With Abscess Or Generalized Perito |
| 44970-CPT | Moderate | Laparoscopy; Appendectomy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44955. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44955 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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