CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 43846 RVU and Medicare Payment (2026)
Gstr rstcv px shrt roux-en-y — 26.72 work RVU, about $1,547.46 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 26.72
- PE RVU (non-facility)
- 12.45
- PE RVU (facility)
- 12.45
- MP RVU
- 7.16
- Office payment
- $1,547.46
- Facility payment
- $1,547.46
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 43846 in a non-facility setting with national GPCI: (26.72 + 12.45 + 7.16) × $33.4009 ≈ $1,547.46. The same code in a facility setting pays about $1,547.46 because facility PE RVU (12.45) replaces office PE RVU.
What changes by locality
GPCI moves 43846 non-facility payment from $1,364.51 to $1,930.17 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 43846?
26.72. 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 43846 in 2026?
About $1,547.46 non-facility ($1,547.46 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 (26.72) and malpractice RVU stay fixed; only practice expense changes (12.45 office vs 12.45 facility). That is the entire office-vs-facility payment gap.