CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 45307 RVU and Medicare Payment (2026)
Proctosigmoidoscopy fb — 1.56 work RVU, about $236.48 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 1.56
- PE RVU (non-facility)
- 5.1
- PE RVU (facility)
- 0.89
- MP RVU
- 0.42
- Office payment
- $236.48
- Facility payment
- $95.86
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 45307 in a non-facility setting with national GPCI: (1.56 + 5.1 + 0.42) × $33.4009 ≈ $236.48. The same code in a facility setting pays about $95.86 because facility PE RVU (0.89) replaces office PE RVU.
What changes by locality
GPCI moves 45307 non-facility payment from $205.66 to $310.99 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 45307?
1.56. 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 45307 in 2026?
About $236.48 non-facility ($95.86 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 (1.56) and malpractice RVU stay fixed; only practice expense changes (5.1 office vs 0.89 facility). That is the entire office-vs-facility payment gap.