CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 43830 RVU and Medicare Payment (2026)
Gstrst open wo constj tube — 10.58 work RVU, about $676.03 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 10.58
- PE RVU (non-facility)
- 6.98
- PE RVU (facility)
- 6.98
- MP RVU
- 2.68
- Office payment
- $676.03
- Facility payment
- $676.03
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 43830 in a non-facility setting with national GPCI: (10.58 + 6.98 + 2.68) × $33.4009 ≈ $676.03. The same code in a facility setting pays about $676.03 because facility PE RVU (6.98) replaces office PE RVU.
What changes by locality
GPCI moves 43830 non-facility payment from $599.75 to $827.69 across CMS localities — from Arkansas 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 43830?
10.58. 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 43830 in 2026?
About $676.03 non-facility ($676.03 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 (10.58) and malpractice RVU stay fixed; only practice expense changes (6.98 office vs 6.98 facility). That is the entire office-vs-facility payment gap.