CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 46760 RVU and Medicare Payment (2026)
Repair of anal sphincter — 17.01 work RVU, about $1,048.79 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 17.01
- PE RVU (non-facility)
- 11.93
- PE RVU (facility)
- 11.93
- MP RVU
- 2.46
- Office payment
- $1,048.79
- Facility payment
- $1,048.79
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 46760 in a non-facility setting with national GPCI: (17.01 + 11.93 + 2.46) × $33.4009 ≈ $1,048.79. The same code in a facility setting pays about $1,048.79 because facility PE RVU (11.93) replaces office PE RVU.
What changes by locality
GPCI moves 46760 non-facility payment from $952.75 to $1,321.87 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 46760?
17.01. 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 46760 in 2026?
About $1,048.79 non-facility ($1,048.79 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 (17.01) and malpractice RVU stay fixed; only practice expense changes (11.93 office vs 11.93 facility). That is the entire office-vs-facility payment gap.