CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 19364 RVU and Medicare Payment (2026)
Brst rcnstj free flap — 41.52 work RVU, about $2,369.46 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 41.52
- PE RVU (non-facility)
- 21.49
- PE RVU (facility)
- 21.49
- MP RVU
- 7.93
- Office payment
- $2,369.46
- Facility payment
- $2,369.46
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 19364 in a non-facility setting with national GPCI: (41.52 + 21.49 + 7.93) × $33.4009 ≈ $2,369.46. The same code in a facility setting pays about $2,369.46 because facility PE RVU (21.49) replaces office PE RVU.
What changes by locality
GPCI moves 19364 non-facility payment from $2,139.79 to $2,990.59 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 19364?
41.52. 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 19364 in 2026?
About $2,369.46 non-facility ($2,369.46 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 (41.52) and malpractice RVU stay fixed; only practice expense changes (21.49 office vs 21.49 facility). That is the entire office-vs-facility payment gap.