CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 46230 RVU and Medicare Payment (2026)
Removal of anal tags — 2.55 work RVU, about $342.36 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 2.55
- PE RVU (non-facility)
- 7.22
- PE RVU (facility)
- 1.95
- MP RVU
- 0.48
- Office payment
- $342.36
- Facility payment
- $166.34
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 46230 in a non-facility setting with national GPCI: (2.55 + 7.22 + 0.48) × $33.4009 ≈ $342.36. The same code in a facility setting pays about $166.34 because facility PE RVU (1.95) replaces office PE RVU.
What changes by locality
GPCI moves 46230 non-facility payment from $300.58 to $450.88 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 46230?
2.55. 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 46230 in 2026?
About $342.36 non-facility ($166.34 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 (2.55) and malpractice RVU stay fixed; only practice expense changes (7.22 office vs 1.95 facility). That is the entire office-vs-facility payment gap.