CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 45541 RVU and Medicare Payment (2026)
Correct rectal prolapse — 14.48 work RVU, about $890.8 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 14.48
- PE RVU (non-facility)
- 9.26
- PE RVU (facility)
- 9.26
- MP RVU
- 2.93
- Office payment
- $890.8
- Facility payment
- $890.8
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 45541 in a non-facility setting with national GPCI: (14.48 + 9.26 + 2.93) × $33.4009 ≈ $890.8. The same code in a facility setting pays about $890.8 because facility PE RVU (9.26) replaces office PE RVU.
What changes by locality
GPCI moves 45541 non-facility payment from $799.73 to $1,108.79 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 45541?
14.48. 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 45541 in 2026?
About $890.8 non-facility ($890.8 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 (14.48) and malpractice RVU stay fixed; only practice expense changes (9.26 office vs 9.26 facility). That is the entire office-vs-facility payment gap.