CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 44157 RVU and Medicare Payment (2026)
Colectomy w/ileoanal anast — 34.81 work RVU, about $2,042.13 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 34.81
- PE RVU (non-facility)
- 17.01
- PE RVU (facility)
- 17.01
- MP RVU
- 9.32
- Office payment
- $2,042.13
- Facility payment
- $2,042.13
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 44157 in a non-facility setting with national GPCI: (34.81 + 17.01 + 9.32) × $33.4009 ≈ $2,042.13. The same code in a facility setting pays about $2,042.13 because facility PE RVU (17.01) replaces office PE RVU.
What changes by locality
GPCI moves 44157 non-facility payment from $1,802.85 to $2,541.4 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 44157?
34.81. 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 44157 in 2026?
About $2,042.13 non-facility ($2,042.13 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 (34.81) and malpractice RVU stay fixed; only practice expense changes (17.01 office vs 17.01 facility). That is the entire office-vs-facility payment gap.