CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 25635 RVU and Medicare Payment (2026)
Cltx carpl fx w/mnpj ea b1 — 4.49 work RVU, about $520.72 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 4.49
- PE RVU (non-facility)
- 10.14
- PE RVU (facility)
- 7.22
- MP RVU
- 0.96
- Office payment
- $520.72
- Facility payment
- $423.19
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 25635 in a non-facility setting with national GPCI: (4.49 + 10.14 + 0.96) × $33.4009 ≈ $520.72. The same code in a facility setting pays about $423.19 because facility PE RVU (7.22) replaces office PE RVU.
What changes by locality
GPCI moves 25635 non-facility payment from $457.41 to $672.04 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 25635?
4.49. 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 25635 in 2026?
About $520.72 non-facility ($423.19 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 (4.49) and malpractice RVU stay fixed; only practice expense changes (10.14 office vs 7.22 facility). That is the entire office-vs-facility payment gap.