CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 23200 RVU and Medicare Payment (2026)
Radical rescj tumor clavicle — 22.14 work RVU, about $1,365.43 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 22.14
- PE RVU (non-facility)
- 14.01
- PE RVU (facility)
- 14.01
- MP RVU
- 4.73
- Office payment
- $1,365.43
- Facility payment
- $1,365.43
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 23200 in a non-facility setting with national GPCI: (22.14 + 14.01 + 4.73) × $33.4009 ≈ $1,365.43. The same code in a facility setting pays about $1,365.43 because facility PE RVU (14.01) replaces office PE RVU.
What changes by locality
GPCI moves 23200 non-facility payment from $1,222.82 to $1,694.66 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 23200?
22.14. 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 23200 in 2026?
About $1,365.43 non-facility ($1,365.43 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 (22.14) and malpractice RVU stay fixed; only practice expense changes (14.01 office vs 14.01 facility). That is the entire office-vs-facility payment gap.