CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 44820 RVU and Medicare Payment (2026)
Excision of mesentery lesion — 13.39 work RVU, about $808.3 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 13.39
- PE RVU (non-facility)
- 7.23
- PE RVU (facility)
- 7.23
- MP RVU
- 3.58
- Office payment
- $808.3
- Facility payment
- $808.3
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 44820 in a non-facility setting with national GPCI: (13.39 + 7.23 + 3.58) × $33.4009 ≈ $808.3. The same code in a facility setting pays about $808.3 because facility PE RVU (7.23) replaces office PE RVU.
What changes by locality
GPCI moves 44820 non-facility payment from $715.33 to $1,001.03 across CMS localities — from Nebraska to Miami. 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 44820?
13.39. 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 44820 in 2026?
About $808.3 non-facility ($808.3 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 (13.39) and malpractice RVU stay fixed; only practice expense changes (7.23 office vs 7.23 facility). That is the entire office-vs-facility payment gap.