CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 43124 RVU and Medicare Payment (2026)
Removal of esophagus — 67.36 work RVU, about $3,553.52 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 67.36
- PE RVU (non-facility)
- 22.05
- PE RVU (facility)
- 22.05
- MP RVU
- 16.98
- Office payment
- $3,553.52
- Facility payment
- $3,553.52
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 43124 in a non-facility setting with national GPCI: (67.36 + 22.05 + 16.98) × $33.4009 ≈ $3,553.52. The same code in a facility setting pays about $3,553.52 because facility PE RVU (22.05) replaces office PE RVU.
What changes by locality
GPCI moves 43124 non-facility payment from $3,130.12 to $4,471.69 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 43124?
67.36. 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 43124 in 2026?
About $3,553.52 non-facility ($3,553.52 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 (67.36) and malpractice RVU stay fixed; only practice expense changes (22.05 office vs 22.05 facility). That is the entire office-vs-facility payment gap.