CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 33926 RVU and Medicare Payment (2026)
Repr pul art unifocal w/cpb — 43.61 work RVU, about $2,232.85 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 43.61
- PE RVU (non-facility)
- 12.23
- PE RVU (facility)
- 12.23
- MP RVU
- 11.01
- Office payment
- $2,232.85
- Facility payment
- $2,232.85
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 33926 in a non-facility setting with national GPCI: (43.61 + 12.23 + 11.01) × $33.4009 ≈ $2,232.85. The same code in a facility setting pays about $2,232.85 because facility PE RVU (12.23) replaces office PE RVU.
What changes by locality
GPCI moves 33926 non-facility payment from $1,961.21 to $2,822.59 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 33926?
43.61. 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 33926 in 2026?
About $2,232.85 non-facility ($2,232.85 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 (43.61) and malpractice RVU stay fixed; only practice expense changes (12.23 office vs 12.23 facility). That is the entire office-vs-facility payment gap.