CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 44376 RVU and Medicare Payment (2026)
Small bowel endoscopy — 5.02 work RVU, about $248.5 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 5.02
- PE RVU (non-facility)
- 1.88
- PE RVU (facility)
- 1.88
- MP RVU
- 0.54
- Office payment
- $248.5
- Facility payment
- $248.5
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 44376 in a non-facility setting with national GPCI: (5.02 + 1.88 + 0.54) × $33.4009 ≈ $248.5. The same code in a facility setting pays about $248.5 because facility PE RVU (1.88) replaces office PE RVU.
What changes by locality
GPCI moves 44376 non-facility payment from $230.9 to $328.32 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 44376?
5.02. 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 44376 in 2026?
About $248.5 non-facility ($248.5 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 (5.02) and malpractice RVU stay fixed; only practice expense changes (1.88 office vs 1.88 facility). That is the entire office-vs-facility payment gap.