CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 43621 RVU and Medicare Payment (2026)
Removal of stomach — 38.54 work RVU, about $2,091.56 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 38.54
- PE RVU (non-facility)
- 14.3
- PE RVU (facility)
- 14.3
- MP RVU
- 9.78
- Office payment
- $2,091.56
- Facility payment
- $2,091.56
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 43621 in a non-facility setting with national GPCI: (38.54 + 14.3 + 9.78) × $33.4009 ≈ $2,091.56. The same code in a facility setting pays about $2,091.56 because facility PE RVU (14.3) replaces office PE RVU.
What changes by locality
GPCI moves 43621 non-facility payment from $1,845.45 to $2,619.58 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 43621?
38.54. 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 43621 in 2026?
About $2,091.56 non-facility ($2,091.56 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 (38.54) and malpractice RVU stay fixed; only practice expense changes (14.3 office vs 14.3 facility). That is the entire office-vs-facility payment gap.