CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 24565 RVU and Medicare Payment (2026)
Cltx hum epcndylr fx w/mnpj — 5.64 work RVU, about $601.55 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 5.64
- PE RVU (non-facility)
- 11.16
- PE RVU (facility)
- 7.74
- MP RVU
- 1.21
- Office payment
- $601.55
- Facility payment
- $487.32
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 24565 in a non-facility setting with national GPCI: (5.64 + 11.16 + 1.21) × $33.4009 ≈ $601.55. The same code in a facility setting pays about $487.32 because facility PE RVU (7.74) replaces office PE RVU.
What changes by locality
GPCI moves 24565 non-facility payment from $529.39 to $768.28 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 24565?
5.64. 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 24565 in 2026?
About $601.55 non-facility ($487.32 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 (5.64) and malpractice RVU stay fixed; only practice expense changes (11.16 office vs 7.74 facility). That is the entire office-vs-facility payment gap.