CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 43277 RVU and Medicare Payment (2026)
Ercp ea duct/ampulla dilate — 6.73 work RVU, about $330 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 6.73
- PE RVU (non-facility)
- 2.4
- PE RVU (facility)
- 2.4
- MP RVU
- 0.75
- Office payment
- $330
- Facility payment
- $330
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 43277 in a non-facility setting with national GPCI: (6.73 + 2.4 + 0.75) × $33.4009 ≈ $330. The same code in a facility setting pays about $330 because facility PE RVU (2.4) replaces office PE RVU.
What changes by locality
GPCI moves 43277 non-facility payment from $306.55 to $436.36 across CMS localities — from Arkansas 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 43277?
6.73. 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 43277 in 2026?
About $330 non-facility ($330 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 (6.73) and malpractice RVU stay fixed; only practice expense changes (2.4 office vs 2.4 facility). That is the entire office-vs-facility payment gap.