CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 24164 RVU and Medicare Payment (2026)
Removal prosth radial head — 9.75 work RVU, about $682.38 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 9.75
- PE RVU (non-facility)
- 8.6
- PE RVU (facility)
- 8.6
- MP RVU
- 2.08
- Office payment
- $682.38
- Facility payment
- $682.38
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 24164 in a non-facility setting with national GPCI: (9.75 + 8.6 + 2.08) × $33.4009 ≈ $682.38. The same code in a facility setting pays about $682.38 because facility PE RVU (8.6) replaces office PE RVU.
What changes by locality
GPCI moves 24164 non-facility payment from $608.18 to $832.69 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 24164?
9.75. 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 24164 in 2026?
About $682.38 non-facility ($682.38 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 (9.75) and malpractice RVU stay fixed; only practice expense changes (8.6 office vs 8.6 facility). That is the entire office-vs-facility payment gap.