CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 44146 RVU and Medicare Payment (2026)
Partial removal of colon — 34.42 work RVU, about $1,941.93 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 34.42
- PE RVU (non-facility)
- 15.82
- PE RVU (facility)
- 15.82
- MP RVU
- 7.9
- Office payment
- $1,941.93
- Facility payment
- $1,941.93
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 44146 in a non-facility setting with national GPCI: (34.42 + 15.82 + 7.9) × $33.4009 ≈ $1,941.93. The same code in a facility setting pays about $1,941.93 because facility PE RVU (15.82) replaces office PE RVU.
What changes by locality
GPCI moves 44146 non-facility payment from $1,737.12 to $2,432.63 across CMS localities — from Nebraska 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 44146?
34.42. 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 44146 in 2026?
About $1,941.93 non-facility ($1,941.93 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 (34.42) and malpractice RVU stay fixed; only practice expense changes (15.82 office vs 15.82 facility). That is the entire office-vs-facility payment gap.