CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 43361 RVU and Medicare Payment (2026)
Gastrointestinal repair — 44.54 work RVU, about $2,507.74 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 44.54
- PE RVU (non-facility)
- 18.6
- PE RVU (facility)
- 18.6
- MP RVU
- 11.94
- Office payment
- $2,507.74
- Facility payment
- $2,507.74
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 43361 in a non-facility setting with national GPCI: (44.54 + 18.6 + 11.94) × $33.4009 ≈ $2,507.74. The same code in a facility setting pays about $2,507.74 because facility PE RVU (18.6) replaces office PE RVU.
What changes by locality
GPCI moves 43361 non-facility payment from $2,205.67 to $3,142.99 across CMS localities — from Wisconsin to Miami. 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 43361?
44.54. 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 43361 in 2026?
About $2,507.74 non-facility ($2,507.74 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 (44.54) and malpractice RVU stay fixed; only practice expense changes (18.6 office vs 18.6 facility). That is the entire office-vs-facility payment gap.