CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 43118 RVU and Medicare Payment (2026)
Partial removal of esophagus — 65.39 work RVU, about $3,354.12 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 65.39
- PE RVU (non-facility)
- 18.54
- PE RVU (facility)
- 18.54
- MP RVU
- 16.49
- Office payment
- $3,354.12
- Facility payment
- $3,354.12
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 43118 in a non-facility setting with national GPCI: (65.39 + 18.54 + 16.49) × $33.4009 ≈ $3,354.12. The same code in a facility setting pays about $3,354.12 because facility PE RVU (18.54) replaces office PE RVU.
What changes by locality
GPCI moves 43118 non-facility payment from $2,946.97 to $4,239.11 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 43118?
65.39. 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 43118 in 2026?
About $3,354.12 non-facility ($3,354.12 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 (65.39) and malpractice RVU stay fixed; only practice expense changes (18.54 office vs 18.54 facility). That is the entire office-vs-facility payment gap.