CPT 44310
Global 090 ActiveIleostomy/jejunostomy
CPT 44310 Billing & Documentation Guide
CPT code 44310 (Ileostomy/jejunostomy) is classified under Surgery (Digestive) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 17.15, a non-facility practice expense RVU of 7.97, and a malpractice RVU of 3.85, a total non-facility RVU of 28.97 and facility RVU of 28.97. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $972.42, though rates vary from $867.14 to $1213.6 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 44310, 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 44310 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 2 units of 44310 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 44310
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 17.15 | 17.15 |
| Practice Expense RVU | 7.97 | 7.97 |
| Malpractice RVU | 3.85 | 3.85 |
| Total RVU | 28.97 | 28.97 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 44310
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 | $978.09 | $978.09 | $943.25 - $1088.63 | 29 |
| Florida | $1090.25 | $1090.25 | $1020.59 - $1175.16 | 3 |
| Georgia | $981.51 | $981.51 | $963.56 - $999.45 | 2 |
| Illinois | $1077.79 | $1077.79 | $1016.86 - $1139.49 | 4 |
| Michigan | $1003.79 | $1003.79 | $961.05 - $1046.52 | 2 |
| North Carolina | $903.37 | $903.37 | $903.37 - $903.37 | 1 |
| New York | $1071.79 | $1071.79 | $916.12 - $1164.8 | 5 |
| Ohio | $945.49 | $945.49 | $945.49 - $945.49 | 1 |
| Pennsylvania | $976.19 | $976.19 | $938.72 - $1013.67 | 2 |
| Texas | $957.5 | $957.5 | $934.54 - $1018.69 | 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 44310
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 44310 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 44310
What does CPT code 44310 mean? +
CPT code 44310 represents: Ileostomy/jejunostomy. It's in the Surgery (Digestive) category with a global period of 090.
What is the Medicare reimbursement for CPT 44310? +
The 2026 Medicare national average non-facility payment for CPT 44310 is $972.42. Rates range from $867.14 to $1213.6 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 44310? +
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 44310? +
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 June 1, 2026.
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