CPT 44125
Global 090 ActiveRemoval of small intestine
CPT 44125 Billing & Documentation Guide
CPT code 44125 (Removal of small intestine) is classified under Surgery (Digestive) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 19.53, a non-facility practice expense RVU of 8.63, and a malpractice RVU of 4.7, a total non-facility RVU of 32.86 and facility RVU of 32.86. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $1100.85, though rates vary from $976.81 to $1371.96 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 44125, 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 44125 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 44125 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 44125
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 19.53 | 19.53 |
| Practice Expense RVU | 8.63 | 8.63 |
| Malpractice RVU | 4.7 | 4.7 |
| Total RVU | 32.86 | 32.86 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 44125
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 | $1101.91 | $1101.91 | $1063.47 - $1223.87 | 29 |
| Florida | $1247.12 | $1247.12 | $1163.83 - $1349.4 | 3 |
| Georgia | $1116.12 | $1116.12 | $1096.56 - $1135.68 | 2 |
| Illinois | $1233.12 | $1233.12 | $1160.86 - $1306.86 | 4 |
| Michigan | $1143.95 | $1143.95 | $1092.73 - $1195.16 | 2 |
| North Carolina | $1021.57 | $1021.57 | $1021.57 - $1021.57 | 1 |
| New York | $1218.25 | $1218.25 | $1036.52 - $1328.32 | 5 |
| Ohio | $1073.73 | $1073.73 | $1073.73 - $1073.73 | 1 |
| Pennsylvania | $1108.35 | $1108.35 | $1065.28 - $1151.41 | 2 |
| Texas | $1085.51 | $1085.51 | $1060.47 - $1159.78 | 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 44125
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 44125 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 44125
What does CPT code 44125 mean? +
CPT code 44125 represents: Removal of small intestine. It's in the Surgery (Digestive) category with a global period of 090.
What is the Medicare reimbursement for CPT 44125? +
The 2026 Medicare national average non-facility payment for CPT 44125 is $1100.85. Rates range from $976.81 to $1371.96 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 44125? +
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 44125? +
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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