CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 43653 RVU and Medicare Payment (2026)
Laparoscopy gastrostomy — 8.27 work RVU, about $565.14 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 8.27
- PE RVU (non-facility)
- 6.49
- PE RVU (facility)
- 6.49
- MP RVU
- 2.16
- Office payment
- $565.14
- Facility payment
- $565.14
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 43653 in a non-facility setting with national GPCI: (8.27 + 6.49 + 2.16) × $33.4009 ≈ $565.14. The same code in a facility setting pays about $565.14 because facility PE RVU (6.49) replaces office PE RVU.
What changes by locality
GPCI moves 43653 non-facility payment from $499.59 to $685.62 across CMS localities — from Arkansas to Nyc Suburbs/long Island. 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 43653?
8.27. 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 43653 in 2026?
About $565.14 non-facility ($565.14 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 (8.27) and malpractice RVU stay fixed; only practice expense changes (6.49 office vs 6.49 facility). That is the entire office-vs-facility payment gap.