CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 44626 RVU and Medicare Payment (2026)
Repair bowel opening — 27.2 work RVU, about $1,456.28 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 27.2
- PE RVU (non-facility)
- 10.18
- PE RVU (facility)
- 10.18
- MP RVU
- 6.22
- Office payment
- $1,456.28
- Facility payment
- $1,456.28
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 44626 in a non-facility setting with national GPCI: (27.2 + 10.18 + 6.22) × $33.4009 ≈ $1,456.28. The same code in a facility setting pays about $1,456.28 because facility PE RVU (10.18) replaces office PE RVU.
What changes by locality
GPCI moves 44626 non-facility payment from $1,298.23 to $1,839.35 across CMS localities — from Wisconsin 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 44626?
27.2. 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 44626 in 2026?
About $1,456.28 non-facility ($1,456.28 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 (27.2) and malpractice RVU stay fixed; only practice expense changes (10.18 office vs 10.18 facility). That is the entire office-vs-facility payment gap.