CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 43847 RVU and Medicare Payment (2026)
Gstr rstcv px sm int rcnstj — 29.52 work RVU, about $1,688.08 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 29.52
- PE RVU (non-facility)
- 13.12
- PE RVU (facility)
- 13.12
- MP RVU
- 7.9
- Office payment
- $1,688.08
- Facility payment
- $1,688.08
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 43847 in a non-facility setting with national GPCI: (29.52 + 13.12 + 7.9) × $33.4009 ≈ $1,688.08. The same code in a facility setting pays about $1,688.08 because facility PE RVU (13.12) replaces office PE RVU.
What changes by locality
GPCI moves 43847 non-facility payment from $1,487.08 to $2,109.5 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 43847?
29.52. 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 43847 in 2026?
About $1,688.08 non-facility ($1,688.08 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 (29.52) and malpractice RVU stay fixed; only practice expense changes (13.12 office vs 13.12 facility). That is the entire office-vs-facility payment gap.