CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31

CPT 20702 RVU and Medicare Payment (2026)

Mnl prep&insj imed rx dev — 2.44 work RVU, about $147.97 non-facility Medicare payment at the 2026 conversion factor.

Work RVU
2.44
PE RVU (non-facility)
1.5
PE RVU (facility)
0.75
MP RVU
0.49
Office payment
$147.97
Facility payment
$122.92

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 20702 in a non-facility setting with national GPCI: (2.44 + 1.5 + 0.49) × $33.4009 ≈ $147.97. The same code in a facility setting pays about $122.92 because facility PE RVU (0.75) replaces office PE RVU.

What changes by locality

GPCI moves 20702 non-facility payment from $132.96 to $184.62 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 20702?

2.44. 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 20702 in 2026?

About $147.97 non-facility ($122.92 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 (2.44) and malpractice RVU stay fixed; only practice expense changes (1.5 office vs 0.75 facility). That is the entire office-vs-facility payment gap.