CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 43108 RVU and Medicare Payment (2026)
Removal of esophagus — 80.8 work RVU, about $4,099.63 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 80.8
- PE RVU (non-facility)
- 21.57
- PE RVU (facility)
- 21.57
- MP RVU
- 20.37
- Office payment
- $4,099.63
- Facility payment
- $4,099.63
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 43108 in a non-facility setting with national GPCI: (80.8 + 21.57 + 20.37) × $33.4009 ≈ $4,099.63. The same code in a facility setting pays about $4,099.63 because facility PE RVU (21.57) replaces office PE RVU.
What changes by locality
GPCI moves 43108 non-facility payment from $3,598.55 to $5,190.36 across CMS localities — from Wisconsin 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 43108?
80.8. 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 43108 in 2026?
About $4,099.63 non-facility ($4,099.63 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 (80.8) and malpractice RVU stay fixed; only practice expense changes (21.57 office vs 21.57 facility). That is the entire office-vs-facility payment gap.