CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 10040 RVU and Medicare Payment (2026)
Extraction — 0.89 work RVU, about $113.23 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 0.89
- PE RVU (non-facility)
- 2.42
- PE RVU (facility)
- 0.3
- MP RVU
- 0.08
- Office payment
- $113.23
- Facility payment
- $42.42
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 10040 in a non-facility setting with national GPCI: (0.89 + 2.42 + 0.08) × $33.4009 ≈ $113.23. The same code in a facility setting pays about $42.42 because facility PE RVU (0.3) replaces office PE RVU.
What changes by locality
GPCI moves 10040 non-facility payment from $100.54 to $150.99 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 10040?
0.89. 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 10040 in 2026?
About $113.23 non-facility ($42.42 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 (0.89) and malpractice RVU stay fixed; only practice expense changes (2.42 office vs 0.3 facility). That is the entire office-vs-facility payment gap.