CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31

CPT 44388 RVU and Medicare Payment (2026)

Colonoscopy thru stoma spx — 2.65 work RVU, about $353.72 non-facility Medicare payment at the 2026 conversion factor.

Work RVU
2.65
PE RVU (non-facility)
7.53
PE RVU (facility)
1.16
MP RVU
0.41
Office payment
$353.72
Facility payment
$140.95

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 44388 in a non-facility setting with national GPCI: (2.65 + 7.53 + 0.41) × $33.4009 ≈ $353.72. The same code in a facility setting pays about $140.95 because facility PE RVU (1.16) replaces office PE RVU.

What changes by locality

GPCI moves 44388 non-facility payment from $311.61 to $468.26 across CMS localities — from Arkansas to San Jose-sunnyvale-santa Clara (san Benito Cnty). 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 44388?

2.65. 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 44388 in 2026?

About $353.72 non-facility ($140.95 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 (2.65) and malpractice RVU stay fixed; only practice expense changes (7.53 office vs 1.16 facility). That is the entire office-vs-facility payment gap.