CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 49446 RVU and Medicare Payment (2026)
Change g-tube to g-j perc — 2.98 work RVU, about $763.54 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 2.98
- PE RVU (non-facility)
- 19.53
- PE RVU (facility)
- 0.45
- MP RVU
- 0.35
- Office payment
- $763.54
- Facility payment
- $126.26
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 49446 in a non-facility setting with national GPCI: (2.98 + 19.53 + 0.35) × $33.4009 ≈ $763.54. The same code in a facility setting pays about $126.26 because facility PE RVU (0.45) replaces office PE RVU.
What changes by locality
GPCI moves 49446 non-facility payment from $665.9 to $1,057.39 across CMS localities — from Arkansas to San Jose-sunnyvale-santa Clara (san Benito Cnty). 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 49446?
2.98. 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 49446 in 2026?
About $763.54 non-facility ($126.26 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 (2.98) and malpractice RVU stay fixed; only practice expense changes (19.53 office vs 0.45 facility). That is the entire office-vs-facility payment gap.