CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 20102 RVU and Medicare Payment (2026)
Expl pentrg wnd abd/flnk/bk — 3.88 work RVU, about $662.01 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 3.88
- PE RVU (non-facility)
- 14.95
- PE RVU (facility)
- 2.47
- MP RVU
- 0.99
- Office payment
- $662.01
- Facility payment
- $245.16
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 20102 in a non-facility setting with national GPCI: (3.88 + 14.95 + 0.99) × $33.4009 ≈ $662.01. The same code in a facility setting pays about $245.16 because facility PE RVU (2.47) replaces office PE RVU.
What changes by locality
GPCI moves 20102 non-facility payment from $575.56 to $881.63 across CMS localities — from Arkansas to San Jose-sunnyvale-santa Clara (san Benito Cnty). 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 20102?
3.88. 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 20102 in 2026?
About $662.01 non-facility ($245.16 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 (3.88) and malpractice RVU stay fixed; only practice expense changes (14.95 office vs 2.47 facility). That is the entire office-vs-facility payment gap.