CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 44186 RVU and Medicare Payment (2026)
Lap jejunostomy — 10.12 work RVU, about $624.93 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 10.12
- PE RVU (non-facility)
- 6
- PE RVU (facility)
- 6
- MP RVU
- 2.59
- Office payment
- $624.93
- Facility payment
- $624.93
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 44186 in a non-facility setting with national GPCI: (10.12 + 6 + 2.59) × $33.4009 ≈ $624.93. The same code in a facility setting pays about $624.93 because facility PE RVU (6) replaces office PE RVU.
What changes by locality
GPCI moves 44186 non-facility payment from $554.72 to $768.12 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 44186?
10.12. 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 44186 in 2026?
About $624.93 non-facility ($624.93 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 (10.12) and malpractice RVU stay fixed; only practice expense changes (6 office vs 6 facility). That is the entire office-vs-facility payment gap.