CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 44403 RVU and Medicare Payment (2026)
Colonoscopy w/resection — 5.36 work RVU, about $265.87 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 5.36
- PE RVU (non-facility)
- 2.01
- PE RVU (facility)
- 2.01
- MP RVU
- 0.59
- Office payment
- $265.87
- Facility payment
- $265.87
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 44403 in a non-facility setting with national GPCI: (5.36 + 2.01 + 0.59) × $33.4009 ≈ $265.87. The same code in a facility setting pays about $265.87 because facility PE RVU (2.01) replaces office PE RVU.
What changes by locality
GPCI moves 44403 non-facility payment from $246.85 to $350.9 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 44403?
5.36. 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 44403 in 2026?
About $265.87 non-facility ($265.87 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 (5.36) and malpractice RVU stay fixed; only practice expense changes (2.01 office vs 2.01 facility). That is the entire office-vs-facility payment gap.