CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 45190 RVU and Medicare Payment (2026)
Destruction rectal tumor — 10.16 work RVU, about $672.36 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 10.16
- PE RVU (non-facility)
- 8.52
- PE RVU (facility)
- 8.52
- MP RVU
- 1.45
- Office payment
- $672.36
- Facility payment
- $672.36
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 45190 in a non-facility setting with national GPCI: (10.16 + 8.52 + 1.45) × $33.4009 ≈ $672.36. The same code in a facility setting pays about $672.36 because facility PE RVU (8.52) replaces office PE RVU.
What changes by locality
GPCI moves 45190 non-facility payment from $608.75 to $838.79 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 45190?
10.16. 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 45190 in 2026?
About $672.36 non-facility ($672.36 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 (10.16) and malpractice RVU stay fixed; only practice expense changes (8.52 office vs 8.52 facility). That is the entire office-vs-facility payment gap.