CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 23184 RVU and Medicare Payment (2026)
Prtl excision bone prox hum — 9.65 work RVU, about $696.41 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 9.65
- PE RVU (non-facility)
- 9.16
- PE RVU (facility)
- 9.16
- MP RVU
- 2.04
- Office payment
- $696.41
- Facility payment
- $696.41
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 23184 in a non-facility setting with national GPCI: (9.65 + 9.16 + 2.04) × $33.4009 ≈ $696.41. The same code in a facility setting pays about $696.41 because facility PE RVU (9.16) replaces office PE RVU.
What changes by locality
GPCI moves 23184 non-facility payment from $620.22 to $846.86 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 23184?
9.65. 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 23184 in 2026?
About $696.41 non-facility ($696.41 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 (9.65) and malpractice RVU stay fixed; only practice expense changes (9.16 office vs 9.16 facility). That is the entire office-vs-facility payment gap.