CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 45114 RVU and Medicare Payment (2026)
Partial removal of rectum — 30.02 work RVU, about $1,688.42 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 30.02
- PE RVU (non-facility)
- 12.5
- PE RVU (facility)
- 12.5
- MP RVU
- 8.03
- Office payment
- $1,688.42
- Facility payment
- $1,688.42
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 45114 in a non-facility setting with national GPCI: (30.02 + 12.5 + 8.03) × $33.4009 ≈ $1,688.42. The same code in a facility setting pays about $1,688.42 because facility PE RVU (12.5) replaces office PE RVU.
What changes by locality
GPCI moves 45114 non-facility payment from $1,485.28 to $2,115.63 across CMS localities — from Wisconsin 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 45114?
30.02. 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 45114 in 2026?
About $1,688.42 non-facility ($1,688.42 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 (30.02) and malpractice RVU stay fixed; only practice expense changes (12.5 office vs 12.5 facility). That is the entire office-vs-facility payment gap.