CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 34101 RVU and Medicare Payment (2026)
Removal of artery clot — 10.66 work RVU, about $543.77 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 10.66
- PE RVU (non-facility)
- 2.9
- PE RVU (facility)
- 2.9
- MP RVU
- 2.72
- Office payment
- $543.77
- Facility payment
- $543.77
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 34101 in a non-facility setting with national GPCI: (10.66 + 2.9 + 2.72) × $33.4009 ≈ $543.77. The same code in a facility setting pays about $543.77 because facility PE RVU (2.9) replaces office PE RVU.
What changes by locality
GPCI moves 34101 non-facility payment from $476.83 to $687.3 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 34101?
10.66. 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 34101 in 2026?
About $543.77 non-facility ($543.77 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 (10.66) and malpractice RVU stay fixed; only practice expense changes (2.9 office vs 2.9 facility). That is the entire office-vs-facility payment gap.