CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 43287 RVU and Medicare Payment (2026)
Esphg dstl 2/3 w/laps moblj — 61.43 work RVU, about $3,294 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 61.43
- PE RVU (non-facility)
- 21.65
- PE RVU (facility)
- 21.65
- MP RVU
- 15.54
- Office payment
- $3,294
- Facility payment
- $3,294
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 43287 in a non-facility setting with national GPCI: (61.43 + 21.65 + 15.54) × $33.4009 ≈ $3,294. The same code in a facility setting pays about $3,294 because facility PE RVU (21.65) replaces office PE RVU.
What changes by locality
GPCI moves 43287 non-facility payment from $2,904.44 to $4,133.86 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 43287?
61.43. 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 43287 in 2026?
About $3,294 non-facility ($3,294 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 (61.43) and malpractice RVU stay fixed; only practice expense changes (21.65 office vs 21.65 facility). That is the entire office-vs-facility payment gap.