CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 24498 RVU and Medicare Payment (2026)
Proph tx w/wo mthylmthcrylt — 11.97 work RVU, about $802.29 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 11.97
- PE RVU (non-facility)
- 9.53
- PE RVU (facility)
- 9.53
- MP RVU
- 2.52
- Office payment
- $802.29
- Facility payment
- $802.29
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 24498 in a non-facility setting with national GPCI: (11.97 + 9.53 + 2.52) × $33.4009 ≈ $802.29. The same code in a facility setting pays about $802.29 because facility PE RVU (9.53) replaces office PE RVU.
What changes by locality
GPCI moves 24498 non-facility payment from $716.59 to $985.09 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 24498?
11.97. 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 24498 in 2026?
About $802.29 non-facility ($802.29 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 (11.97) and malpractice RVU stay fixed; only practice expense changes (9.53 office vs 9.53 facility). That is the entire office-vs-facility payment gap.