CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 43644 RVU and Medicare Payment (2026)
Lap gastric bypass/roux-en-y — 28.67 work RVU, about $1,618.27 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 28.67
- PE RVU (non-facility)
- 12.14
- PE RVU (facility)
- 12.14
- MP RVU
- 7.64
- Office payment
- $1,618.27
- Facility payment
- $1,618.27
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 43644 in a non-facility setting with national GPCI: (28.67 + 12.14 + 7.64) × $33.4009 ≈ $1,618.27. The same code in a facility setting pays about $1,618.27 because facility PE RVU (12.14) replaces office PE RVU.
What changes by locality
GPCI moves 43644 non-facility payment from $1,424.66 to $2,025.07 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 43644?
28.67. 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 43644 in 2026?
About $1,618.27 non-facility ($1,618.27 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 (28.67) and malpractice RVU stay fixed; only practice expense changes (12.14 office vs 12.14 facility). That is the entire office-vs-facility payment gap.