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

CPT 31614 RVU and Medicare Payment (2026)

Tracheostoma revj complex — 8.41 work RVU, about $642.3 non-facility Medicare payment at the 2026 conversion factor.

Work RVU
8.41
PE RVU (non-facility)
9.59
PE RVU (facility)
9.59
MP RVU
1.23
Office payment
$642.3
Facility payment
$642.3

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 31614 in a non-facility setting with national GPCI: (8.41 + 9.59 + 1.23) × $33.4009 ≈ $642.3. The same code in a facility setting pays about $642.3 because facility PE RVU (9.59) replaces office PE RVU.

What changes by locality

GPCI moves 31614 non-facility payment from $577.21 to $795.71 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 31614?

8.41. 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 31614 in 2026?

About $642.3 non-facility ($642.3 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 (8.41) and malpractice RVU stay fixed; only practice expense changes (9.59 office vs 9.59 facility). That is the entire office-vs-facility payment gap.