CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 45379 RVU and Medicare Payment (2026)
Colonoscopy w/fb removal — 4.17 work RVU, about $479.3 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 4.17
- PE RVU (non-facility)
- 9.69
- PE RVU (facility)
- 1.63
- MP RVU
- 0.49
- Office payment
- $479.3
- Facility payment
- $210.09
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 45379 in a non-facility setting with national GPCI: (4.17 + 9.69 + 0.49) × $33.4009 ≈ $479.3. The same code in a facility setting pays about $210.09 because facility PE RVU (1.63) replaces office PE RVU.
What changes by locality
GPCI moves 45379 non-facility payment from $425.73 to $630.09 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 45379?
4.17. 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 45379 in 2026?
About $479.3 non-facility ($210.09 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 (4.17) and malpractice RVU stay fixed; only practice expense changes (9.69 office vs 1.63 facility). That is the entire office-vs-facility payment gap.