CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 43820 RVU and Medicare Payment (2026)
Gastrojejunostomy wo vagotmy — 21.97 work RVU, about $1,256.54 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 21.97
- PE RVU (non-facility)
- 10.11
- PE RVU (facility)
- 10.11
- MP RVU
- 5.54
- Office payment
- $1,256.54
- Facility payment
- $1,256.54
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 43820 in a non-facility setting with national GPCI: (21.97 + 10.11 + 5.54) × $33.4009 ≈ $1,256.54. The same code in a facility setting pays about $1,256.54 because facility PE RVU (10.11) replaces office PE RVU.
What changes by locality
GPCI moves 43820 non-facility payment from $1,114.31 to $1,562.32 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 43820?
21.97. 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 43820 in 2026?
About $1,256.54 non-facility ($1,256.54 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 (21.97) and malpractice RVU stay fixed; only practice expense changes (10.11 office vs 10.11 facility). That is the entire office-vs-facility payment gap.