CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 44158 RVU and Medicare Payment (2026)
Colectomy w/neo-rectum pouch — 35.78 work RVU, about $2,091.23 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 35.78
- PE RVU (non-facility)
- 17.25
- PE RVU (facility)
- 17.25
- MP RVU
- 9.58
- Office payment
- $2,091.23
- Facility payment
- $2,091.23
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 44158 in a non-facility setting with national GPCI: (35.78 + 17.25 + 9.58) × $33.4009 ≈ $2,091.23. The same code in a facility setting pays about $2,091.23 because facility PE RVU (17.25) replaces office PE RVU.
What changes by locality
GPCI moves 44158 non-facility payment from $1,845.6 to $2,604.1 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 44158?
35.78. 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 44158 in 2026?
About $2,091.23 non-facility ($2,091.23 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 (35.78) and malpractice RVU stay fixed; only practice expense changes (17.25 office vs 17.25 facility). That is the entire office-vs-facility payment gap.