CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 19367 RVU and Medicare Payment (2026)
Brst rcnstj 1 pdcl tram flap — 26.13 work RVU, about $1,559.15 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 26.13
- PE RVU (non-facility)
- 15.7
- PE RVU (facility)
- 15.7
- MP RVU
- 4.85
- Office payment
- $1,559.15
- Facility payment
- $1,559.15
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 19367 in a non-facility setting with national GPCI: (26.13 + 15.7 + 4.85) × $33.4009 ≈ $1,559.15. The same code in a facility setting pays about $1,559.15 because facility PE RVU (15.7) replaces office PE RVU.
What changes by locality
GPCI moves 19367 non-facility payment from $1,406.65 to $1,956.89 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 19367?
26.13. 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 19367 in 2026?
About $1,559.15 non-facility ($1,559.15 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 (26.13) and malpractice RVU stay fixed; only practice expense changes (15.7 office vs 15.7 facility). That is the entire office-vs-facility payment gap.