CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 45400 RVU and Medicare Payment (2026)
Laparoscopic proc — 18.95 work RVU, about $1,044.45 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 18.95
- PE RVU (non-facility)
- 8.96
- PE RVU (facility)
- 8.96
- MP RVU
- 3.36
- Office payment
- $1,044.45
- Facility payment
- $1,044.45
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 45400 in a non-facility setting with national GPCI: (18.95 + 8.96 + 3.36) × $33.4009 ≈ $1,044.45. The same code in a facility setting pays about $1,044.45 because facility PE RVU (8.96) replaces office PE RVU.
What changes by locality
GPCI moves 45400 non-facility payment from $947.82 to $1,329.98 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 45400?
18.95. 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 45400 in 2026?
About $1,044.45 non-facility ($1,044.45 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 (18.95) and malpractice RVU stay fixed; only practice expense changes (8.96 office vs 8.96 facility). That is the entire office-vs-facility payment gap.