CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 44021 RVU and Medicare Payment (2026)
Decompress small bowel — 15.9 work RVU, about $908.84 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 15.9
- PE RVU (non-facility)
- 7.35
- PE RVU (facility)
- 7.35
- MP RVU
- 3.96
- Office payment
- $908.84
- Facility payment
- $908.84
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 44021 in a non-facility setting with national GPCI: (15.9 + 7.35 + 3.96) × $33.4009 ≈ $908.84. The same code in a facility setting pays about $908.84 because facility PE RVU (7.35) replaces office PE RVU.
What changes by locality
GPCI moves 44021 non-facility payment from $807 to $1,130.94 across CMS localities — from Wisconsin 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 44021?
15.9. 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 44021 in 2026?
About $908.84 non-facility ($908.84 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 (15.9) and malpractice RVU stay fixed; only practice expense changes (7.35 office vs 7.35 facility). That is the entire office-vs-facility payment gap.