CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 34051 RVU and Medicare Payment (2026)
Removal of artery clot — 16.57 work RVU, about $965.29 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 16.57
- PE RVU (non-facility)
- 8.37
- PE RVU (facility)
- 8.37
- MP RVU
- 3.96
- Office payment
- $965.29
- Facility payment
- $965.29
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 34051 in a non-facility setting with national GPCI: (16.57 + 8.37 + 3.96) × $33.4009 ≈ $965.29. The same code in a facility setting pays about $965.29 because facility PE RVU (8.37) replaces office PE RVU.
What changes by locality
GPCI moves 34051 non-facility payment from $861.49 to $1,200.8 across CMS localities — from Nebraska 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 34051?
16.57. 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 34051 in 2026?
About $965.29 non-facility ($965.29 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 (16.57) and malpractice RVU stay fixed; only practice expense changes (8.37 office vs 8.37 facility). That is the entire office-vs-facility payment gap.