CPT 44314
Global 090 ActiveRevision of ileostomy
CPT 44314 Billing & Documentation Guide
CPT code 44314 (Revision of ileostomy) is classified under Surgery (Digestive) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 16.32, a non-facility practice expense RVU of 8.33, and a malpractice RVU of 3.36, a total non-facility RVU of 28.01 and facility RVU of 28.01. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $942.67, though rates vary from $841.9 to $1175.81 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 44314, 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 44314 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 44314 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 44314
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 16.32 | 16.32 |
| Practice Expense RVU | 8.33 | 8.33 |
| Malpractice RVU | 3.36 | 3.36 |
| Total RVU | 28.01 | 28.01 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 44314
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 | $954.72 | $954.72 | $919.46 - $1066.42 | 29 |
| Florida | $1042.73 | $1042.73 | $979.77 - $1118.56 | 3 |
| Georgia | $945.63 | $945.63 | $927.06 - $964.2 | 2 |
| Illinois | $1030.32 | $1030.32 | $974.54 - $1086.1 | 4 |
| Michigan | $964.32 | $964.32 | $925.83 - $1002.81 | 2 |
| North Carolina | $876.4 | $876.4 | $876.4 - $876.4 | 1 |
| New York | $1033.92 | $1033.92 | $888.32 - $1119.21 | 5 |
| Ohio | $912.25 | $912.25 | $912.25 - $912.25 | 1 |
| Pennsylvania | $942.51 | $942.51 | $906.57 - $978.44 | 2 |
| Texas | $926.26 | $926.26 | $902.55 - $980.17 | 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 44314
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 44314 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 00840 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 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 | CPT Separate procedure definition |
Frequently Asked Questions, CPT 44314
What does CPT code 44314 mean? +
CPT code 44314 represents: Revision of ileostomy. It's in the Surgery (Digestive) category with a global period of 090.
What is the Medicare reimbursement for CPT 44314? +
The 2026 Medicare national average non-facility payment for CPT 44314 is $942.67. Rates range from $841.9 to $1175.81 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 44314? +
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 44314? +
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 2, 2026.
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