CPT 44207

How much did Medicare pay for CPT 44207 in Q1 2023? Copy link

Medicare paid $1,818.05 for CPT 44207 in the office (non-facility) setting and $1,818.05 in a facility under the Q1 2023 Physician Fee Schedule, effective January 2023. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. Across payment localities, both settings' amount is $1,618.02–$2,327.60. This is a 1.9% decrease from the previous quarter.

Source: Physician relative value file (Q1 2023) · effective January 2023 · materially updated Aug 4, 2026 · compact facts

Rates by locality Copy link

The amounts above use GPCI 1.000, a national baseline no locality actually bills at. Medicare rescales every code by the local Geographic Practice Cost Indices before paying it, so what 44207 pays depends on where the service is furnished. Tap a state for its localities.

Office (non-facility) Facility

$1,618–$1,736 $1,736–$1,855 $1,855–$1,973 $1,973–$2,091 $2,091–$2,209 $2,209–$2,328

Highest-paying locality

$2,327.60

Alaska, AK

Lowest-paying locality

$1,618.02

Nebraska, NE

44207 non-facility rate by metro area

Highest-paying metro first. Each figure is that payment locality's own GPCI-adjusted amount.

Anchorage, AK $2,327.60 Locality 02102-01 Long Island, NY $2,265.91 Locality 13202-02 Queens, NY $2,219.38 Locality 13292-04 Miami, FL $2,161.37 Locality 09102-04 New York City, NY $2,158.65 Locality 13202-01 Chicago, IL $2,044.62 Locality 06102-16 Washington, DC $2,039.79 Locality 12202-01

Show 55 more metros Show fewer metros

San Jose, CA $2,015.80 Locality 01112-09 Fort Lauderdale, FL $1,989.58 Locality 09102-03 San Francisco, CA $1,987.50 Locality 01112-05 Northern New Jersey, NJ $1,975.47 Locality 12402-01 Suburban Chicago, IL $1,966.40 Locality 06102-15 Baltimore, MD $1,955.36 Locality 12302-01 Detroit, MI $1,955.29 Locality 08202-01 Boston, MA $1,943.91 Locality 14212-01 Metro East, IL $1,933.92 Locality 06102-12 Seattle, WA $1,929.90 Locality 02402-02 Hartford, CT $1,918.85 Locality 13102-00 Philadelphia, PA $1,918.33 Locality 12502-01 Los Angeles, CA $1,905.63 Locality 01182-18 Houston, TX $1,883.84 Locality 04412-18 Tampa, FL $1,881.75 Locality 09102-99 Ventura County, CA $1,876.67 Locality 01182-17 Riverside, CA $1,866.21 Locality 01112-62 San Diego, CA $1,859.81 Locality 01182-72 New Orleans, LA $1,854.01 Locality 07202-01 Providence, RI $1,848.09 Locality 14412-01 Las Vegas, NV $1,838.74 Locality 01312-00 Sacramento, CA $1,830.61 Locality 01112-63 Bakersfield, CA $1,824.15 Locality 01112-54 Atlanta, GA $1,820.38 Locality 10212-01 Honolulu, HI $1,817.33 Locality 01212-01 Denver, CO $1,806.86 Locality 04112-01 Albuquerque, NM $1,802.25 Locality 04212-05 Portland, OR $1,799.20 Locality 02302-01 Fresno, CA $1,793.38 Locality 01112-56 Austin, TX $1,788.25 Locality 04412-31 St. Louis, MO $1,786.68 Locality 05302-01 Columbus, OH $1,785.13 Locality 15202-00 Dallas, TX $1,784.35 Locality 04412-11 Kansas City, MO $1,780.38 Locality 05302-02 Richmond, VA $1,776.06 Locality 11302-00 Fort Worth, TX $1,771.11 Locality 04412-28 Phoenix, AZ $1,768.00 Locality 03102-00 Pittsburgh, PA $1,763.01 Locality 12502-99 Salt Lake City, UT $1,750.68 Locality 03502-09 Portland, ME $1,747.63 Locality 14112-03 San Antonio, TX $1,740.91 Locality 04412-99 Buffalo, NY $1,738.37 Locality 13282-99 Charlotte, NC $1,725.24 Locality 11502-00 Louisville, KY $1,723.90 Locality 15102-00 Charleston, SC $1,718.21 Locality 11202-01 Oklahoma City, OK $1,715.52 Locality 04312-00 Birmingham, AL $1,700.77 Locality 10112-00 Minneapolis, MN $1,685.74 Locality 06202-00 Wichita, KS $1,663.43 Locality 05202-00 Nashville, TN $1,660.61 Locality 10312-35 Indianapolis, IN $1,660.46 Locality 08102-00 Des Moines, IA $1,652.76 Locality 05102-00 Milwaukee, WI $1,646.96 Locality 06302-00 Boise, ID $1,643.41 Locality 02202-00 Omaha, NE $1,618.02 Locality 05402-00

$1,618–$1,736 $1,736–$1,855 $1,855–$1,973 $1,973–$2,091 $2,091–$2,209 $2,209–$2,328

Highest-paying locality

$2,327.60

Alaska, AK

Lowest-paying locality

$1,618.02

Nebraska, NE

44207 facility rate by metro area

Highest-paying metro first. Each figure is that payment locality's own GPCI-adjusted amount.

Anchorage, AK $2,327.60 Locality 02102-01 Long Island, NY $2,265.91 Locality 13202-02 Queens, NY $2,219.38 Locality 13292-04 Miami, FL $2,161.37 Locality 09102-04 New York City, NY $2,158.65 Locality 13202-01 Chicago, IL $2,044.62 Locality 06102-16 Washington, DC $2,039.79 Locality 12202-01

Show 55 more metros Show fewer metros

San Jose, CA $2,015.80 Locality 01112-09 Fort Lauderdale, FL $1,989.58 Locality 09102-03 San Francisco, CA $1,987.50 Locality 01112-05 Northern New Jersey, NJ $1,975.47 Locality 12402-01 Suburban Chicago, IL $1,966.40 Locality 06102-15 Baltimore, MD $1,955.36 Locality 12302-01 Detroit, MI $1,955.29 Locality 08202-01 Boston, MA $1,943.91 Locality 14212-01 Metro East, IL $1,933.92 Locality 06102-12 Seattle, WA $1,929.90 Locality 02402-02 Hartford, CT $1,918.85 Locality 13102-00 Philadelphia, PA $1,918.33 Locality 12502-01 Los Angeles, CA $1,905.63 Locality 01182-18 Houston, TX $1,883.84 Locality 04412-18 Tampa, FL $1,881.75 Locality 09102-99 Ventura County, CA $1,876.67 Locality 01182-17 Riverside, CA $1,866.21 Locality 01112-62 San Diego, CA $1,859.81 Locality 01182-72 New Orleans, LA $1,854.01 Locality 07202-01 Providence, RI $1,848.09 Locality 14412-01 Las Vegas, NV $1,838.74 Locality 01312-00 Sacramento, CA $1,830.61 Locality 01112-63 Bakersfield, CA $1,824.15 Locality 01112-54 Atlanta, GA $1,820.38 Locality 10212-01 Honolulu, HI $1,817.33 Locality 01212-01 Denver, CO $1,806.86 Locality 04112-01 Albuquerque, NM $1,802.25 Locality 04212-05 Portland, OR $1,799.20 Locality 02302-01 Fresno, CA $1,793.38 Locality 01112-56 Austin, TX $1,788.25 Locality 04412-31 St. Louis, MO $1,786.68 Locality 05302-01 Columbus, OH $1,785.13 Locality 15202-00 Dallas, TX $1,784.35 Locality 04412-11 Kansas City, MO $1,780.38 Locality 05302-02 Richmond, VA $1,776.06 Locality 11302-00 Fort Worth, TX $1,771.11 Locality 04412-28 Phoenix, AZ $1,768.00 Locality 03102-00 Pittsburgh, PA $1,763.01 Locality 12502-99 Salt Lake City, UT $1,750.68 Locality 03502-09 Portland, ME $1,747.63 Locality 14112-03 San Antonio, TX $1,740.91 Locality 04412-99 Buffalo, NY $1,738.37 Locality 13282-99 Charlotte, NC $1,725.24 Locality 11502-00 Louisville, KY $1,723.90 Locality 15102-00 Charleston, SC $1,718.21 Locality 11202-01 Oklahoma City, OK $1,715.52 Locality 04312-00 Birmingham, AL $1,700.77 Locality 10112-00 Minneapolis, MN $1,685.74 Locality 06202-00 Wichita, KS $1,663.43 Locality 05202-00 Nashville, TN $1,660.61 Locality 10312-35 Indianapolis, IN $1,660.46 Locality 08102-00 Des Moines, IA $1,652.76 Locality 05102-00 Milwaukee, WI $1,646.96 Locality 06302-00 Boise, ID $1,643.41 Locality 02202-00 Omaha, NE $1,618.02 Locality 05402-00

Look up your exact locality →

Q1 2023 amounts, computed with each locality's own GPCIs, before the ~2% sequestration cut. A state with more than one payment locality shows a range — its tile is colored by the mean across those localities, which is a shading choice, not an amount anyone is paid.

How this amount is computed Copy link

CPT 44207 has a work RVU of 31.92, a non-facility practice expense RVU of 15.50, a facility practice expense RVU of 15.50 and a malpractice RVU of 6.23 — for total non-facility RVUs of 53.65 and total facility RVUs of 53.65 in the Q1 2023 release.

amount = (work RVU × work GPCI + PE RVU × PE GPCI + MP RVU × MP GPCI) × conversion factor. National amounts use GPCI = 1.000. To price an RVU figure of your own, use the RVU-to-dollars converter.

Every rate combines three parts: work (the clinician’s time, skill and effort), practice expense (office overhead — higher when the service is done in a doctor’s own office), and malpractice (the share of liability-insurance cost). A blank means CMS publishes no national number for that part. Read it as unknown, and never as zero.

What does 44207 cost? Copy link

Four numbers get called the cost of a code. Each answers a different question.

National Q1 2023 figures at GPCI 1.000. Adjust for your locality and sequestration, or see the questions below for each figure in full.

Common questions Copy link

Applicable payment rules Copy link

Only the rules that can matter for 44207, each linking to its detail on this page.

Global period: what 44207's fee already covers Copy link

Major surgery. The fee covers the day before surgery, the day of surgery, and the 90 days after it. Related follow-up care inside that window is not billed separately.

Billing a related follow-up visit inside the 90-day window is the most common way this code gets denied — the payment for that care is already inside the 44207 fee.

A modifier reports what happened; it does not by itself make a service payable. Documentation has to support it.

Billing policy Copy link

What 44207's billing-policy indicators mean. These show for every code, priced or not: a restriction like "bilateral not allowed" still matters on a carrier-priced code. See modifier amounts below for the dollar figures these support.

Modifier amounts: -26/TC, -50, -80/81/82, -AS, -62, -66 Copy link

National non-facility amounts for the modifiers this code's indicators support. Single-line modifiers only. -51 (multiple-procedure reduction) depends on the other codes on the same claim, so it's a claim-level number rather than a per-code one. Use the calculator for a locality-adjusted, sequestration-aware amount.

These apply standard MPFS percentages — assistant surgeon 16%, co-surgeon 62.5%, bilateral 150% — to the national non-facility amount above, so its source citation covers them too. They are derived here rather than read from a CMS column: check them against the current Medicare Claims Processing Manual before relying on them for payment. A row marked If documented carries the ordinary percentage, but this code's CMS indicator pays it only when supporting documentation of medical necessity is submitted — an unpaid claim without that documentation is not an underpayment.

Can you bill it with another code? Copy link

Enter a second CPT or HCPCS code billed on the same date of service. We'll check the current NCCI procedure-to-procedure edit between it and 44207.

See every current NCCI pair for 44207 →

Rate history by release Copy link

National non-facility amount for 44207 across quarterly releases. -12.2% decrease since Q2 2014 · high $1,901.56 in Q1 2020

Contracted rate: % of Medicare Copy link

Commercial payer contracts usually price off the Medicare amount above ("BCBS pays 115% of Medicare"). Enter your contract's percentage below to see what 44207 pays at that rate — $1,818.05 is 100%.

We want to build this: store your multipliers once, and every code page shows your rate instead of Medicare's. Tell us if you'd use it →

See how to find your contract's actual percentage.

How often 44207 is billed Copy link

Across Original Medicare in CY2024, 44207 ranked #811 of the 7,879 CPT codes billed to Medicare that year, by patients served or total allowed dollars.

2024 Medicare fee-for-service national totals. They exclude Medicare Advantage, Medicaid and commercial volume, so real-world use runs higher. This is a calendar-year snapshot from the CMS Physician & Other Practitioners dataset, on a different cycle from the Q1 2023 fee schedule above.