CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 43283 RVU and Medicare Payment (2026)
Lap esoph lengthening — 2.88 work RVU, about $141.95 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 2.88
- PE RVU (non-facility)
- 0.64
- PE RVU (facility)
- 0.64
- MP RVU
- 0.73
- Office payment
- $141.95
- Facility payment
- $141.95
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 43283 in a non-facility setting with national GPCI: (2.88 + 0.64 + 0.73) × $33.4009 ≈ $141.95. The same code in a facility setting pays about $141.95 because facility PE RVU (0.64) replaces office PE RVU.
What changes by locality
GPCI moves 43283 non-facility payment from $124.18 to $180.49 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 43283?
2.88. 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 43283 in 2026?
About $141.95 non-facility ($141.95 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 (2.88) and malpractice RVU stay fixed; only practice expense changes (0.64 office vs 0.64 facility). That is the entire office-vs-facility payment gap.