CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 33509 RVU and Medicare Payment (2026)
Ndsc hrv uxtr art 1 sgm cab — 3.26 work RVU, about $157.99 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 3.26
- PE RVU (non-facility)
- 0.66
- PE RVU (facility)
- 0.66
- MP RVU
- 0.81
- Office payment
- $157.99
- Facility payment
- $157.99
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 33509 in a non-facility setting with national GPCI: (3.26 + 0.66 + 0.81) × $33.4009 ≈ $157.99. The same code in a facility setting pays about $157.99 because facility PE RVU (0.66) replaces office PE RVU.
What changes by locality
GPCI moves 33509 non-facility payment from $138.34 to $201.72 across CMS localities — from Wisconsin 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 33509?
3.26. 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 33509 in 2026?
About $157.99 non-facility ($157.99 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 (3.26) and malpractice RVU stay fixed; only practice expense changes (0.66 office vs 0.66 facility). That is the entire office-vs-facility payment gap.