CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 43288 RVU and Medicare Payment (2026)
Esphg thrsc moblj — 64.76 work RVU, about $3,463.67 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 64.76
- PE RVU (non-facility)
- 22.49
- PE RVU (facility)
- 22.49
- MP RVU
- 16.45
- Office payment
- $3,463.67
- Facility payment
- $3,463.67
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 43288 in a non-facility setting with national GPCI: (64.76 + 22.49 + 16.45) × $33.4009 ≈ $3,463.67. The same code in a facility setting pays about $3,463.67 because facility PE RVU (22.49) replaces office PE RVU.
What changes by locality
GPCI moves 43288 non-facility payment from $3,051.91 to $4,347.32 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 43288?
64.76. 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 43288 in 2026?
About $3,463.67 non-facility ($3,463.67 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 (64.76) and malpractice RVU stay fixed; only practice expense changes (22.49 office vs 22.49 facility). That is the entire office-vs-facility payment gap.