CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 33778 RVU and Medicare Payment (2026)
Rpr tga aortic pulm art rcns — 41.68 work RVU, about $2,190.77 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 41.68
- PE RVU (non-facility)
- 13.39
- PE RVU (facility)
- 13.39
- MP RVU
- 10.52
- Office payment
- $2,190.77
- Facility payment
- $2,190.77
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 33778 in a non-facility setting with national GPCI: (41.68 + 13.39 + 10.52) × $33.4009 ≈ $2,190.77. The same code in a facility setting pays about $2,190.77 because facility PE RVU (13.39) replaces office PE RVU.
What changes by locality
GPCI moves 33778 non-facility payment from $1,928.83 to $2,758.14 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 33778?
41.68. 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 33778 in 2026?
About $2,190.77 non-facility ($2,190.77 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 (41.68) and malpractice RVU stay fixed; only practice expense changes (13.39 office vs 13.39 facility). That is the entire office-vs-facility payment gap.