CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 45171 RVU and Medicare Payment (2026)
Exc rect tum transanal part — 7.93 work RVU, about $611.9 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 7.93
- PE RVU (non-facility)
- 8.83
- PE RVU (facility)
- 8.83
- MP RVU
- 1.56
- Office payment
- $611.9
- Facility payment
- $611.9
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 45171 in a non-facility setting with national GPCI: (7.93 + 8.83 + 1.56) × $33.4009 ≈ $611.9. The same code in a facility setting pays about $611.9 because facility PE RVU (8.83) replaces office PE RVU.
What changes by locality
GPCI moves 45171 non-facility payment from $545.05 to $747.22 across CMS localities — from Arkansas to San Jose-sunnyvale-santa Clara (san Benito Cnty). 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 45171?
7.93. 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 45171 in 2026?
About $611.9 non-facility ($611.9 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 (7.93) and malpractice RVU stay fixed; only practice expense changes (8.83 office vs 8.83 facility). That is the entire office-vs-facility payment gap.