CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 15778 RVU and Medicare Payment (2026)
Impl absrb msh/prsth dly cls — 6.87 work RVU, about $353.38 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 6.87
- PE RVU (non-facility)
- 2.01
- PE RVU (facility)
- 2.01
- MP RVU
- 1.7
- Office payment
- $353.38
- Facility payment
- $353.38
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 15778 in a non-facility setting with national GPCI: (6.87 + 2.01 + 1.7) × $33.4009 ≈ $353.38. The same code in a facility setting pays about $353.38 because facility PE RVU (2.01) replaces office PE RVU.
What changes by locality
GPCI moves 15778 non-facility payment from $311.27 to $446.98 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 15778?
6.87. 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 15778 in 2026?
About $353.38 non-facility ($353.38 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 (6.87) and malpractice RVU stay fixed; only practice expense changes (2.01 office vs 2.01 facility). That is the entire office-vs-facility payment gap.