CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 57307 RVU and Medicare Payment (2026)
Fistula repair & colostomy — 16.74 work RVU, about $998.35 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 16.74
- PE RVU (non-facility)
- 10.74
- PE RVU (facility)
- 10.74
- MP RVU
- 2.41
- Office payment
- $998.35
- Facility payment
- $998.35
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 57307 in a non-facility setting with national GPCI: (16.74 + 10.74 + 2.41) × $33.4009 ≈ $998.35. The same code in a facility setting pays about $998.35 because facility PE RVU (10.74) replaces office PE RVU.
What changes by locality
GPCI moves 57307 non-facility payment from $908.73 to $1,265.09 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 57307?
16.74. 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 57307 in 2026?
About $998.35 non-facility ($998.35 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 (16.74) and malpractice RVU stay fixed; only practice expense changes (10.74 office vs 10.74 facility). That is the entire office-vs-facility payment gap.