CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 46080 RVU and Medicare Payment (2026)
Sphnctrotmy anal div sphnctr — 2.46 work RVU, about $315.64 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 2.46
- PE RVU (non-facility)
- 6.5
- PE RVU (facility)
- 1.54
- MP RVU
- 0.49
- Office payment
- $315.64
- Facility payment
- $149.97
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 46080 in a non-facility setting with national GPCI: (2.46 + 6.5 + 0.49) × $33.4009 ≈ $315.64. The same code in a facility setting pays about $149.97 because facility PE RVU (1.54) replaces office PE RVU.
What changes by locality
GPCI moves 46080 non-facility payment from $277.09 to $413.04 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 46080?
2.46. 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 46080 in 2026?
About $315.64 non-facility ($149.97 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 (2.46) and malpractice RVU stay fixed; only practice expense changes (6.5 office vs 1.54 facility). That is the entire office-vs-facility payment gap.