CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 46750 RVU and Medicare Payment (2026)
Repair of anal sphincter — 11.85 work RVU, about $687.06 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 11.85
- PE RVU (non-facility)
- 6.66
- PE RVU (facility)
- 6.66
- MP RVU
- 2.06
- Office payment
- $687.06
- Facility payment
- $687.06
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 46750 in a non-facility setting with national GPCI: (11.85 + 6.66 + 2.06) × $33.4009 ≈ $687.06. The same code in a facility setting pays about $687.06 because facility PE RVU (6.66) replaces office PE RVU.
What changes by locality
GPCI moves 46750 non-facility payment from $622.32 to $868.52 across CMS localities — from Arkansas to Alaska. 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 46750?
11.85. 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 46750 in 2026?
About $687.06 non-facility ($687.06 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 (11.85) and malpractice RVU stay fixed; only practice expense changes (6.66 office vs 6.66 facility). That is the entire office-vs-facility payment gap.