CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 43889 RVU and Medicare Payment (2026)
Gstr rstcv px trnsorl esg — 12.56 work RVU, about $719.79 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 12.56
- PE RVU (non-facility)
- 7
- PE RVU (facility)
- 7
- MP RVU
- 1.99
- Office payment
- $719.79
- Facility payment
- $719.79
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 43889 in a non-facility setting with national GPCI: (12.56 + 7 + 1.99) × $33.4009 ≈ $719.79. The same code in a facility setting pays about $719.79 because facility PE RVU (7) replaces office PE RVU.
What changes by locality
GPCI moves 43889 non-facility payment from $654.59 to $914.9 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 43889?
12.56. 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 43889 in 2026?
About $719.79 non-facility ($719.79 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 (12.56) and malpractice RVU stay fixed; only practice expense changes (7 office vs 7 facility). That is the entire office-vs-facility payment gap.