CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 23935 RVU and Medicare Payment (2026)
Inc dp opn b1 crtx hum/elbw — 6.22 work RVU, about $495.34 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 6.22
- PE RVU (non-facility)
- 7.31
- PE RVU (facility)
- 7.31
- MP RVU
- 1.3
- Office payment
- $495.34
- Facility payment
- $495.34
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 23935 in a non-facility setting with national GPCI: (6.22 + 7.31 + 1.3) × $33.4009 ≈ $495.34. The same code in a facility setting pays about $495.34 because facility PE RVU (7.31) replaces office PE RVU.
What changes by locality
GPCI moves 23935 non-facility payment from $439.85 to $605.96 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 23935?
6.22. 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 23935 in 2026?
About $495.34 non-facility ($495.34 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 (6.22) and malpractice RVU stay fixed; only practice expense changes (7.31 office vs 7.31 facility). That is the entire office-vs-facility payment gap.