CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 46083 RVU and Medicare Payment (2026)
Inc thrombosed hroid xtrnl — 1.41 work RVU, about $225.46 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 1.41
- PE RVU (non-facility)
- 5.06
- PE RVU (facility)
- 1.53
- MP RVU
- 0.28
- Office payment
- $225.46
- Facility payment
- $107.55
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 46083 in a non-facility setting with national GPCI: (1.41 + 5.06 + 0.28) × $33.4009 ≈ $225.46. The same code in a facility setting pays about $107.55 because facility PE RVU (1.53) replaces office PE RVU.
What changes by locality
GPCI moves 46083 non-facility payment from $197.09 to $301 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 46083?
1.41. 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 46083 in 2026?
About $225.46 non-facility ($107.55 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 (1.41) and malpractice RVU stay fixed; only practice expense changes (5.06 office vs 1.53 facility). That is the entire office-vs-facility payment gap.