CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 43888 RVU and Medicare Payment (2026)
Gstr rstcv px opn rmvl&rplc — 6.28 work RVU, about $461.27 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 6.28
- PE RVU (non-facility)
- 5.86
- PE RVU (facility)
- 5.86
- MP RVU
- 1.67
- Office payment
- $461.27
- Facility payment
- $461.27
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 43888 in a non-facility setting with national GPCI: (6.28 + 5.86 + 1.67) × $33.4009 ≈ $461.27. The same code in a facility setting pays about $461.27 because facility PE RVU (5.86) replaces office PE RVU.
What changes by locality
GPCI moves 43888 non-facility payment from $406.62 to $559.49 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 43888?
6.28. 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 43888 in 2026?
About $461.27 non-facility ($461.27 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 (6.28) and malpractice RVU stay fixed; only practice expense changes (5.86 office vs 5.86 facility). That is the entire office-vs-facility payment gap.