CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 45119 RVU and Medicare Payment (2026)
Remove rectum w/reservoir — 32.64 work RVU, about $1,707.45 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 32.64
- PE RVU (non-facility)
- 13.77
- PE RVU (facility)
- 13.77
- MP RVU
- 4.71
- Office payment
- $1,707.45
- Facility payment
- $1,707.45
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 45119 in a non-facility setting with national GPCI: (32.64 + 13.77 + 4.71) × $33.4009 ≈ $1,707.45. The same code in a facility setting pays about $1,707.45 because facility PE RVU (13.77) replaces office PE RVU.
What changes by locality
GPCI moves 45119 non-facility payment from $1,566.3 to $2,211.82 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 45119?
32.64. 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 45119 in 2026?
About $1,707.45 non-facility ($1,707.45 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 (32.64) and malpractice RVU stay fixed; only practice expense changes (13.77 office vs 13.77 facility). That is the entire office-vs-facility payment gap.