CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 23545 RVU and Medicare Payment (2026)
Cltx acromclav dislc w/mnpj — 3.34 work RVU, about $502.02 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 3.34
- PE RVU (non-facility)
- 10.86
- PE RVU (facility)
- 8.59
- MP RVU
- 0.83
- Office payment
- $502.02
- Facility payment
- $426.2
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 23545 in a non-facility setting with national GPCI: (3.34 + 10.86 + 0.83) × $33.4009 ≈ $502.02. The same code in a facility setting pays about $426.2 because facility PE RVU (8.59) replaces office PE RVU.
What changes by locality
GPCI moves 23545 non-facility payment from $437.42 to $661.75 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 23545?
3.34. 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 23545 in 2026?
About $502.02 non-facility ($426.2 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 (3.34) and malpractice RVU stay fixed; only practice expense changes (10.86 office vs 8.59 facility). That is the entire office-vs-facility payment gap.