CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 0446T RVU and Medicare Payment (2026)
Insj impltbl glucose sensor — 1.11 work RVU, about $6,320.12 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 1.11
- PE RVU (non-facility)
- 188.02
- PE RVU (facility)
- 0.26
- MP RVU
- 0.09
- Office payment
- $6,320.12
- Facility payment
- $48.77
How the payment is calculated
Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 0446T in a non-facility setting with national GPCI: (1.11 + 188.02 + 0.09) × $33.4009 ≈ $6,320.12. The same code in a facility setting pays about $48.77 because facility PE RVU (0.26) replaces office PE RVU.
What changes by locality
GPCI moves 0446T non-facility payment from $5,433.18 to $9,098.58 across CMS localities — from Arkansas to San Jose-sunnyvale-santa Clara (san Benito Cnty). Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.
Frequently asked questions
What is the 2026 work RVU for CPT 0446T?
1.11. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.
How much does Medicare pay for CPT 0446T in 2026?
About $6,320.12 non-facility ($48.77 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.
Does the work RVU change between office and facility?
No. Work RVU (1.11) and malpractice RVU stay fixed; only practice expense changes (188.02 office vs 0.26 facility). That is the entire office-vs-facility payment gap.