CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 20694 RVU and Medicare Payment (2026)
Rmvl ext fixj sys under anes — 4.17 work RVU, about $461.93 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 4.17
- PE RVU (non-facility)
- 8.87
- PE RVU (facility)
- 4.87
- MP RVU
- 0.79
- Office payment
- $461.93
- Facility payment
- $328.33
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 20694 in a non-facility setting with national GPCI: (4.17 + 8.87 + 0.79) × $33.4009 ≈ $461.93. The same code in a facility setting pays about $328.33 because facility PE RVU (4.87) replaces office PE RVU.
What changes by locality
GPCI moves 20694 non-facility payment from $407.36 to $595.96 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 20694?
4.17. 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 20694 in 2026?
About $461.93 non-facility ($328.33 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 (4.17) and malpractice RVU stay fixed; only practice expense changes (8.87 office vs 4.87 facility). That is the entire office-vs-facility payment gap.