CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 19342 RVU and Medicare Payment (2026)
Insj/rplcmt brst implt sep d — 10.22 work RVU, about $694.4 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 10.22
- PE RVU (non-facility)
- 8.66
- PE RVU (facility)
- 8.66
- MP RVU
- 1.91
- Office payment
- $694.4
- Facility payment
- $694.4
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 19342 in a non-facility setting with national GPCI: (10.22 + 8.66 + 1.91) × $33.4009 ≈ $694.4. The same code in a facility setting pays about $694.4 because facility PE RVU (8.66) replaces office PE RVU.
What changes by locality
GPCI moves 19342 non-facility payment from $622.68 to $855.24 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 19342?
10.22. 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 19342 in 2026?
About $694.4 non-facility ($694.4 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 (10.22) and malpractice RVU stay fixed; only practice expense changes (8.66 office vs 8.66 facility). That is the entire office-vs-facility payment gap.