CPT 44015
Global ZZZ ActiveInsert needle cath bowel
CPT 44015 Billing & Documentation Guide
CPT code 44015 (Insert needle cath bowel) is classified under Surgery (Digestive) with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.55, a non-facility practice expense RVU of 0.62, and a malpractice RVU of 0.62, a total non-facility RVU of 3.79 and facility RVU of 3.79. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $126.25, though rates vary from $111.39 to $161.22 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 44015, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 44015 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Add-on code (global concept does not apply)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 44015 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 44015
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.55 | 2.55 |
| Practice Expense RVU | 0.62 | 0.62 |
| Malpractice RVU | 0.62 | 0.62 |
| Total RVU | 3.79 | 3.79 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 44015
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $123.96 | $123.96 | $120.42 - $135.5 | 29 |
| Florida | $146.26 | $146.26 | $136.09 - $159.1 | 3 |
| Georgia | $129.84 | $129.84 | $128.33 - $131.34 | 2 |
| Illinois | $145.06 | $145.06 | $136.45 - $154.11 | 4 |
| Michigan | $133.77 | $133.77 | $127.46 - $140.07 | 2 |
| North Carolina | $117.73 | $117.73 | $117.73 - $117.73 | 1 |
| New York | $140.47 | $140.47 | $119.4 - $153.7 | 5 |
| Ohio | $124.95 | $124.95 | $124.95 - $124.95 | 1 |
| Pennsylvania | $128.36 | $128.36 | $123.75 - $132.97 | 2 |
| Texas | $125.26 | $125.26 | $122.53 - $134.91 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 44015
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 44015 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 43752 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 43830 | Column 1 (primary), can be billed with modifier | 9 | CPT Separate procedure definition |
| 44201 | Column 1 (primary), can be billed with modifier | No | Mutually exclusive procedures |
| 44850 | Column 1 (primary), can be billed with modifier | 9 | CPT Separate procedure definition |
| 44950 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 44950 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 44970 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 49000 | Column 1 (primary), can be billed with modifier | 9 | CPT Separate procedure definition |
Frequently Asked Questions, CPT 44015
What does CPT code 44015 mean? +
CPT code 44015 represents: Insert needle cath bowel. It's in the Surgery (Digestive) category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 44015? +
The 2026 Medicare national average non-facility payment for CPT 44015 is $126.25. Rates range from $111.39 to $161.22 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 44015? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 44015? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on April 21, 2026.
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