CPT 44720
Global XXX ActivePrep donor intestine/venous
CPT 44720 Billing & Documentation Guide
CPT code 44720 (Prep donor intestine/venous) is classified under Surgery (Digestive) with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 4.88, a non-facility practice expense RVU of 1.18, and a malpractice RVU of 1.31, a total non-facility RVU of 7.37 and facility RVU of 7.37. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $244.91, though rates vary from $214.23 to $314.68 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 44720, 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 44720 with related codes; this code has 4 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 2 units of 44720 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 44720
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 4.88 | 4.88 |
| Practice Expense RVU | 1.18 | 1.18 |
| Malpractice RVU | 1.31 | 1.31 |
| Total RVU | 7.37 | 7.37 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 44720
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 | $239.2 | $239.2 | $232.42 - $261.21 | 29 |
| Florida | $287.72 | $287.72 | $266.44 - $314.68 | 3 |
| Georgia | $253.2 | $253.2 | $250.31 - $256.08 | 2 |
| Illinois | $285.27 | $285.27 | $267.37 - $304.17 | 4 |
| Michigan | $261.59 | $261.59 | $248.38 - $274.8 | 2 |
| North Carolina | $227.73 | $227.73 | $227.73 - $227.73 | 1 |
| New York | $274.18 | $274.18 | $231.2 - $301.54 | 5 |
| Ohio | $243.09 | $243.09 | $243.09 - $243.09 | 1 |
| Pennsylvania | $249.85 | $249.85 | $240.53 - $259.16 | 2 |
| Texas | $243.34 | $243.34 | $237.49 - $263.64 | 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 44720
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 44720 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 |
| 69990 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 96523 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 44720
What does CPT code 44720 mean? +
CPT code 44720 represents: Prep donor intestine/venous. It's in the Surgery (Digestive) category with a global period of XXX.
What is the Medicare reimbursement for CPT 44720? +
The 2026 Medicare national average non-facility payment for CPT 44720 is $244.91. Rates range from $214.23 to $314.68 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 44720? +
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 44720? +
This code has 4 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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