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

CPT 33858 RVU and Medicare Payment (2026)

As-aort grf f/aortic dsj — 61.82 work RVU, about $3,133.67 non-facility Medicare payment at the 2026 conversion factor.

Work RVU
61.82
PE RVU (non-facility)
16.69
PE RVU (facility)
16.69
MP RVU
15.31
Office payment
$3,133.67
Facility payment
$3,133.67

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 33858 in a non-facility setting with national GPCI: (61.82 + 16.69 + 15.31) × $33.4009 ≈ $3,133.67. The same code in a facility setting pays about $3,133.67 because facility PE RVU (16.69) replaces office PE RVU.

What changes by locality

GPCI moves 33858 non-facility payment from $2,756.39 to $3,972.73 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 33858?

61.82. 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 33858 in 2026?

About $3,133.67 non-facility ($3,133.67 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 (61.82) and malpractice RVU stay fixed; only practice expense changes (16.69 office vs 16.69 facility). That is the entire office-vs-facility payment gap.