CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 46730 RVU and Medicare Payment (2026)
Construction of absent anus — 29.88 work RVU, about $1,907.53 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 29.88
- PE RVU (non-facility)
- 19.23
- PE RVU (facility)
- 19.23
- MP RVU
- 8
- Office payment
- $1,907.53
- Facility payment
- $1,907.53
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 46730 in a non-facility setting with national GPCI: (29.88 + 19.23 + 8) × $33.4009 ≈ $1,907.53. The same code in a facility setting pays about $1,907.53 because facility PE RVU (19.23) replaces office PE RVU.
What changes by locality
GPCI moves 46730 non-facility payment from $1,687.37 to $2,342.42 across CMS localities — from Arkansas to Miami. 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 46730?
29.88. 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 46730 in 2026?
About $1,907.53 non-facility ($1,907.53 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 (29.88) and malpractice RVU stay fixed; only practice expense changes (19.23 office vs 19.23 facility). That is the entire office-vs-facility payment gap.