CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 23605 RVU and Medicare Payment (2026)
Cltx prx hmrl fx mnpj+-tract — 4.93 work RVU, about $534.75 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 4.93
- PE RVU (non-facility)
- 10
- PE RVU (facility)
- 7.19
- MP RVU
- 1.08
- Office payment
- $534.75
- Facility payment
- $440.89
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 23605 in a non-facility setting with national GPCI: (4.93 + 10 + 1.08) × $33.4009 ≈ $534.75. The same code in a facility setting pays about $440.89 because facility PE RVU (7.19) replaces office PE RVU.
What changes by locality
GPCI moves 23605 non-facility payment from $470.16 to $683.76 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 23605?
4.93. 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 23605 in 2026?
About $534.75 non-facility ($440.89 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 (4.93) and malpractice RVU stay fixed; only practice expense changes (10 office vs 7.19 facility). That is the entire office-vs-facility payment gap.