CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 49621 RVU and Medicare Payment (2026)
Rpr parastomal hernia rdc — 13.36 work RVU, about $683.38 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 13.36
- PE RVU (non-facility)
- 3.94
- PE RVU (facility)
- 3.94
- MP RVU
- 3.16
- Office payment
- $683.38
- Facility payment
- $683.38
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 49621 in a non-facility setting with national GPCI: (13.36 + 3.94 + 3.16) × $33.4009 ≈ $683.38. The same code in a facility setting pays about $683.38 because facility PE RVU (3.94) replaces office PE RVU.
What changes by locality
GPCI moves 49621 non-facility payment from $604.82 to $867.66 across CMS localities — from Wisconsin 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 49621?
13.36. 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 49621 in 2026?
About $683.38 non-facility ($683.38 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 (13.36) and malpractice RVU stay fixed; only practice expense changes (3.94 office vs 3.94 facility). That is the entire office-vs-facility payment gap.