CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 17274 RVU and Medicare Payment (2026)
Dstr mal les s/n/h/f/g 3.1-4 — 2.57 work RVU, about $239.15 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 2.57
- PE RVU (non-facility)
- 4.34
- PE RVU (facility)
- 1.34
- MP RVU
- 0.25
- Office payment
- $239.15
- Facility payment
- $138.95
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 17274 in a non-facility setting with national GPCI: (2.57 + 4.34 + 0.25) × $33.4009 ≈ $239.15. The same code in a facility setting pays about $138.95 because facility PE RVU (1.34) replaces office PE RVU.
What changes by locality
GPCI moves 17274 non-facility payment from $214.66 to $308.79 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 17274?
2.57. 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 17274 in 2026?
About $239.15 non-facility ($138.95 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 (2.57) and malpractice RVU stay fixed; only practice expense changes (4.34 office vs 1.34 facility). That is the entire office-vs-facility payment gap.