CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 46735 RVU and Medicare Payment (2026)
Construction of absent anus — 35.24 work RVU, about $2,177.07 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 35.24
- PE RVU (non-facility)
- 20.52
- PE RVU (facility)
- 20.52
- MP RVU
- 9.42
- Office payment
- $2,177.07
- Facility payment
- $2,177.07
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 46735 in a non-facility setting with national GPCI: (35.24 + 20.52 + 9.42) × $33.4009 ≈ $2,177.07. The same code in a facility setting pays about $2,177.07 because facility PE RVU (20.52) replaces office PE RVU.
What changes by locality
GPCI moves 46735 non-facility payment from $1,927.83 to $2,686.25 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 46735?
35.24. 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 46735 in 2026?
About $2,177.07 non-facility ($2,177.07 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 (35.24) and malpractice RVU stay fixed; only practice expense changes (20.52 office vs 20.52 facility). That is the entire office-vs-facility payment gap.