CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 45382 RVU and Medicare Payment (2026)
Colonoscopy w/control bleed — 4.54 work RVU, about $730.14 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 4.54
- PE RVU (non-facility)
- 16.82
- PE RVU (facility)
- 1.75
- MP RVU
- 0.5
- Office payment
- $730.14
- Facility payment
- $226.79
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 45382 in a non-facility setting with national GPCI: (4.54 + 16.82 + 0.5) × $33.4009 ≈ $730.14. The same code in a facility setting pays about $226.79 because facility PE RVU (1.75) replaces office PE RVU.
What changes by locality
GPCI moves 45382 non-facility payment from $642.83 to $987.39 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 45382?
4.54. 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 45382 in 2026?
About $730.14 non-facility ($226.79 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 (4.54) and malpractice RVU stay fixed; only practice expense changes (16.82 office vs 1.75 facility). That is the entire office-vs-facility payment gap.