CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 19325 RVU and Medicare Payment (2026)
Breast augmentation w/implt — 7.92 work RVU, about $566.15 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 7.92
- PE RVU (non-facility)
- 7.55
- PE RVU (facility)
- 7.55
- MP RVU
- 1.48
- Office payment
- $566.15
- Facility payment
- $566.15
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 19325 in a non-facility setting with national GPCI: (7.92 + 7.55 + 1.48) × $33.4009 ≈ $566.15. The same code in a facility setting pays about $566.15 because facility PE RVU (7.55) replaces office PE RVU.
What changes by locality
GPCI moves 19325 non-facility payment from $506.61 to $692.61 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 19325?
7.92. 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 19325 in 2026?
About $566.15 non-facility ($566.15 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 (7.92) and malpractice RVU stay fixed; only practice expense changes (7.55 office vs 7.55 facility). That is the entire office-vs-facility payment gap.