CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 15931 RVU and Medicare Payment (2026)
Exc sacral pr ulc prim sutr — 9.82 work RVU, about $673.36 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 9.82
- PE RVU (non-facility)
- 7.93
- PE RVU (facility)
- 7.93
- MP RVU
- 2.41
- Office payment
- $673.36
- Facility payment
- $673.36
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 15931 in a non-facility setting with national GPCI: (9.82 + 7.93 + 2.41) × $33.4009 ≈ $673.36. The same code in a facility setting pays about $673.36 because facility PE RVU (7.93) replaces office PE RVU.
What changes by locality
GPCI moves 15931 non-facility payment from $596.97 to $818.43 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 15931?
9.82. 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 15931 in 2026?
About $673.36 non-facility ($673.36 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 (9.82) and malpractice RVU stay fixed; only practice expense changes (7.93 office vs 7.93 facility). That is the entire office-vs-facility payment gap.