CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 17263 RVU and Medicare Payment (2026)
Dstrj mal les t/a/l 2.1-3.0 — 1.79 work RVU, about $188.38 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 1.79
- PE RVU (non-facility)
- 3.67
- PE RVU (facility)
- 1.1
- MP RVU
- 0.18
- Office payment
- $188.38
- Facility payment
- $102.54
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 17263 in a non-facility setting with national GPCI: (1.79 + 3.67 + 0.18) × $33.4009 ≈ $188.38. The same code in a facility setting pays about $102.54 because facility PE RVU (1.1) replaces office PE RVU.
What changes by locality
GPCI moves 17263 non-facility payment from $168.18 to $246.35 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 17263?
1.79. 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 17263 in 2026?
About $188.38 non-facility ($102.54 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 (1.79) and malpractice RVU stay fixed; only practice expense changes (3.67 office vs 1.1 facility). That is the entire office-vs-facility payment gap.