CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 46746 RVU and Medicare Payment (2026)
Repair of cloacal anomaly — 63.8 work RVU, about $3,628.67 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 63.8
- PE RVU (non-facility)
- 27.76
- PE RVU (facility)
- 27.76
- MP RVU
- 17.08
- Office payment
- $3,628.67
- Facility payment
- $3,628.67
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 46746 in a non-facility setting with national GPCI: (63.8 + 27.76 + 17.08) × $33.4009 ≈ $3,628.67. The same code in a facility setting pays about $3,628.67 because facility PE RVU (27.76) replaces office PE RVU.
What changes by locality
GPCI moves 46746 non-facility payment from $3,194.95 to $4,538.96 across CMS localities — from Wisconsin 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 46746?
63.8. 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 46746 in 2026?
About $3,628.67 non-facility ($3,628.67 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 (63.8) and malpractice RVU stay fixed; only practice expense changes (27.76 office vs 27.76 facility). That is the entire office-vs-facility payment gap.