CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 44900 RVU and Medicare Payment (2026)
I&d appendix abscess open — 12.26 work RVU, about $743.84 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 12.26
- PE RVU (non-facility)
- 6.74
- PE RVU (facility)
- 6.74
- MP RVU
- 3.27
- Office payment
- $743.84
- Facility payment
- $743.84
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 44900 in a non-facility setting with national GPCI: (12.26 + 6.74 + 3.27) × $33.4009 ≈ $743.84. The same code in a facility setting pays about $743.84 because facility PE RVU (6.74) replaces office PE RVU.
What changes by locality
GPCI moves 44900 non-facility payment from $658.57 to $920.07 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 44900?
12.26. 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 44900 in 2026?
About $743.84 non-facility ($743.84 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 (12.26) and malpractice RVU stay fixed; only practice expense changes (6.74 office vs 6.74 facility). That is the entire office-vs-facility payment gap.