CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 31292 RVU and Medicare Payment (2026)
Nsl/sins ndsc med/inf dcmprn — 15.5 work RVU, about $854.4 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 15.5
- PE RVU (non-facility)
- 7.8
- PE RVU (facility)
- 7.8
- MP RVU
- 2.28
- Office payment
- $854.4
- Facility payment
- $854.4
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 31292 in a non-facility setting with national GPCI: (15.5 + 7.8 + 2.28) × $33.4009 ≈ $854.4. The same code in a facility setting pays about $854.4 because facility PE RVU (7.8) replaces office PE RVU.
What changes by locality
GPCI moves 31292 non-facility payment from $780.73 to $1,095.99 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 31292?
15.5. 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 31292 in 2026?
About $854.4 non-facility ($854.4 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 (15.5) and malpractice RVU stay fixed; only practice expense changes (7.8 office vs 7.8 facility). That is the entire office-vs-facility payment gap.