CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 15952 RVU and Medicare Payment (2026)
Exc trchntr pr ulc flp clsr — 12 work RVU, about $833.02 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 12
- PE RVU (non-facility)
- 10.72
- PE RVU (facility)
- 10.72
- MP RVU
- 2.22
- Office payment
- $833.02
- Facility payment
- $833.02
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 15952 in a non-facility setting with national GPCI: (12 + 10.72 + 2.22) × $33.4009 ≈ $833.02. The same code in a facility setting pays about $833.02 because facility PE RVU (10.72) replaces office PE RVU.
What changes by locality
GPCI moves 15952 non-facility payment from $746.57 to $1,023.4 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 15952?
12. 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 15952 in 2026?
About $833.02 non-facility ($833.02 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 (12) and malpractice RVU stay fixed; only practice expense changes (10.72 office vs 10.72 facility). That is the entire office-vs-facility payment gap.