CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 19294 RVU and Medicare Payment (2026)
Prepj tum cav iort prtl mast — 2.93 work RVU, about $147.97 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 2.93
- PE RVU (non-facility)
- 0.74
- PE RVU (facility)
- 0.74
- MP RVU
- 0.76
- Office payment
- $147.97
- Facility payment
- $147.97
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 19294 in a non-facility setting with national GPCI: (2.93 + 0.74 + 0.76) × $33.4009 ≈ $147.97. The same code in a facility setting pays about $147.97 because facility PE RVU (0.74) replaces office PE RVU.
What changes by locality
GPCI moves 19294 non-facility payment from $129.36 to $187.79 across CMS localities — from Wisconsin to Miami. 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 19294?
2.93. 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 19294 in 2026?
About $147.97 non-facility ($147.97 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 (2.93) and malpractice RVU stay fixed; only practice expense changes (0.74 office vs 0.74 facility). That is the entire office-vs-facility payment gap.