CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31

CPT 24655 RVU and Medicare Payment (2026)

Cltx rdl head/nck fx w/mnpj — 4.5 work RVU, about $532.74 non-facility Medicare payment at the 2026 conversion factor.

Work RVU
4.5
PE RVU (non-facility)
10.42
PE RVU (facility)
7.7
MP RVU
1.03
Office payment
$532.74
Facility payment
$441.89

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 24655 in a non-facility setting with national GPCI: (4.5 + 10.42 + 1.03) × $33.4009 ≈ $532.74. The same code in a facility setting pays about $441.89 because facility PE RVU (7.7) replaces office PE RVU.

What changes by locality

GPCI moves 24655 non-facility payment from $466.99 to $687.15 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 24655?

4.5. 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 24655 in 2026?

About $532.74 non-facility ($441.89 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 (4.5) and malpractice RVU stay fixed; only practice expense changes (10.42 office vs 7.7 facility). That is the entire office-vs-facility payment gap.