CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 17286 RVU and Medicare Payment (2026)
Dstr mal ls f/e/e/n/l/m>4.0 — 4.37 work RVU, about $352.05 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 4.37
- PE RVU (non-facility)
- 5.71
- PE RVU (facility)
- 1.89
- MP RVU
- 0.46
- Office payment
- $352.05
- Facility payment
- $224.45
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 17286 in a non-facility setting with national GPCI: (4.37 + 5.71 + 0.46) × $33.4009 ≈ $352.05. The same code in a facility setting pays about $224.45 because facility PE RVU (1.89) replaces office PE RVU.
What changes by locality
GPCI moves 17286 non-facility payment from $317.7 to $445.27 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 17286?
4.37. 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 17286 in 2026?
About $352.05 non-facility ($224.45 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 (4.37) and malpractice RVU stay fixed; only practice expense changes (5.71 office vs 1.89 facility). That is the entire office-vs-facility payment gap.