CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 46280 RVU and Medicare Payment (2026)
Remove anal fist complex — 6.23 work RVU, about $482.64 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 6.23
- PE RVU (non-facility)
- 7.06
- PE RVU (facility)
- 7.06
- MP RVU
- 1.16
- Office payment
- $482.64
- Facility payment
- $482.64
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 46280 in a non-facility setting with national GPCI: (6.23 + 7.06 + 1.16) × $33.4009 ≈ $482.64. The same code in a facility setting pays about $482.64 because facility PE RVU (7.06) replaces office PE RVU.
What changes by locality
GPCI moves 46280 non-facility payment from $430.6 to $591.78 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 46280?
6.23. 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 46280 in 2026?
About $482.64 non-facility ($482.64 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 (6.23) and malpractice RVU stay fixed; only practice expense changes (7.06 office vs 7.06 facility). That is the entire office-vs-facility payment gap.