CPT 44705
Global XXXPrepare fecal microbiota
CPT 44705 Billing & Documentation Guide
CPT code 44705 (Prepare fecal microbiota) is classified under Surgery (Digestive) with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.38, a non-facility practice expense RVU of 1.92, and a malpractice RVU of 0.15, a total non-facility RVU of 3.45 and facility RVU of 1.84. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $118.25, though rates vary from $103.76 to $146.32 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 44705, 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 44705 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Invalid for Medicare; not separately payable
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 44705 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 44705
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.38 | 1.38 |
| Practice Expense RVU | 1.92 | 0.31 |
| Malpractice RVU | 0.15 | 0.15 |
| Total RVU | 3.45 | 1.84 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 44705
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 | $126.35 | $62.71 | $119.85 - $146.32 | 29 |
| Florida | $120.19 | $66.23 | $114.93 - $125.52 | 3 |
| Georgia | $113.34 | $62.04 | $109.27 - $117.4 | 2 |
| Illinois | $117.79 | $65.84 | $112.47 - $122.36 | 4 |
| Michigan | $113.37 | $62.87 | $110.3 - $116.43 | 2 |
| North Carolina | $109.13 | $58.96 | $109.13 - $109.13 | 1 |
| New York | $126.63 | $66.64 | $110.54 - $134.6 | 5 |
| Ohio | $109.69 | $60.6 | $109.69 - $109.69 | 1 |
| Pennsylvania | $114.68 | $62 | $109.7 - $119.66 | 2 |
| Texas | $114.14 | $61.19 | $109.11 - $118.47 | 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 44705
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 44705 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 12001 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12002 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12004 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12005 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12006 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12007 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12011 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12013 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12014 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12015 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 44705
What does CPT code 44705 mean? +
CPT code 44705 represents: Prepare fecal microbiota. It's in the Surgery (Digestive) category with a global period of XXX.
What is the Medicare reimbursement for CPT 44705? +
The 2026 Medicare national average non-facility payment for CPT 44705 is $118.25. Rates range from $103.76 to $146.32 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 44705? +
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 44705? +
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 17, 2026.
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