CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 43634 RVU and Medicare Payment (2026)
Removal of stomach partial — 35.72 work RVU, about $1,961.97 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 35.72
- PE RVU (non-facility)
- 13.45
- PE RVU (facility)
- 13.45
- MP RVU
- 9.57
- Office payment
- $1,961.97
- Facility payment
- $1,961.97
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 43634 in a non-facility setting with national GPCI: (35.72 + 13.45 + 9.57) × $33.4009 ≈ $1,961.97. The same code in a facility setting pays about $1,961.97 because facility PE RVU (13.45) replaces office PE RVU.
What changes by locality
GPCI moves 43634 non-facility payment from $1,721.91 to $2,469.13 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 43634?
35.72. 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 43634 in 2026?
About $1,961.97 non-facility ($1,961.97 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 (35.72) and malpractice RVU stay fixed; only practice expense changes (13.45 office vs 13.45 facility). That is the entire office-vs-facility payment gap.