CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 25630 RVU and Medicare Payment (2026)
Cltx carpl fx w/o mnpj ea b1 — 2.95 work RVU, about $345.03 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 2.95
- PE RVU (non-facility)
- 6.8
- PE RVU (facility)
- 5.17
- MP RVU
- 0.58
- Office payment
- $345.03
- Facility payment
- $290.59
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 25630 in a non-facility setting with national GPCI: (2.95 + 6.8 + 0.58) × $33.4009 ≈ $345.03. The same code in a facility setting pays about $290.59 because facility PE RVU (5.17) replaces office PE RVU.
What changes by locality
GPCI moves 25630 non-facility payment from $303.61 to $447.27 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 25630?
2.95. 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 25630 in 2026?
About $345.03 non-facility ($290.59 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 (2.95) and malpractice RVU stay fixed; only practice expense changes (6.8 office vs 5.17 facility). That is the entire office-vs-facility payment gap.