CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 49452 RVU and Medicare Payment (2026)
Replace g-j tube perc — 2.79 work RVU, about $727.47 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 2.79
- PE RVU (non-facility)
- 18.69
- PE RVU (facility)
- 0.41
- MP RVU
- 0.3
- Office payment
- $727.47
- Facility payment
- $116.9
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 49452 in a non-facility setting with national GPCI: (2.79 + 18.69 + 0.3) × $33.4009 ≈ $727.47. The same code in a facility setting pays about $116.9 because facility PE RVU (0.41) replaces office PE RVU.
What changes by locality
GPCI moves 49452 non-facility payment from $634.59 to $1,009 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 49452?
2.79. 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 49452 in 2026?
About $727.47 non-facility ($116.9 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 (2.79) and malpractice RVU stay fixed; only practice expense changes (18.69 office vs 0.41 facility). That is the entire office-vs-facility payment gap.