CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 43045 RVU and Medicare Payment (2026)
Esophagotomy thrc rmvl fb — 21.33 work RVU, about $1,258.55 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 21.33
- PE RVU (non-facility)
- 10.98
- PE RVU (facility)
- 10.98
- MP RVU
- 5.37
- Office payment
- $1,258.55
- Facility payment
- $1,258.55
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 43045 in a non-facility setting with national GPCI: (21.33 + 10.98 + 5.37) × $33.4009 ≈ $1,258.55. The same code in a facility setting pays about $1,258.55 because facility PE RVU (10.98) replaces office PE RVU.
What changes by locality
GPCI moves 43045 non-facility payment from $1,118.74 to $1,558.07 across CMS localities — from Nebraska to Alaska. 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 43045?
21.33. 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 43045 in 2026?
About $1,258.55 non-facility ($1,258.55 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 (21.33) and malpractice RVU stay fixed; only practice expense changes (10.98 office vs 10.98 facility). That is the entire office-vs-facility payment gap.