CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 44390 RVU and Medicare Payment (2026)
Colonoscopy for foreign body — 3.65 work RVU, about $449.24 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 3.65
- PE RVU (non-facility)
- 9.39
- PE RVU (facility)
- 1.5
- MP RVU
- 0.41
- Office payment
- $449.24
- Facility payment
- $185.71
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 44390 in a non-facility setting with national GPCI: (3.65 + 9.39 + 0.41) × $33.4009 ≈ $449.24. The same code in a facility setting pays about $185.71 because facility PE RVU (1.5) replaces office PE RVU.
What changes by locality
GPCI moves 44390 non-facility payment from $398.38 to $594.92 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 44390?
3.65. 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 44390 in 2026?
About $449.24 non-facility ($185.71 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 (3.65) and malpractice RVU stay fixed; only practice expense changes (9.39 office vs 1.5 facility). That is the entire office-vs-facility payment gap.