CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 34490 RVU and Medicare Payment (2026)
Removal of vein clot — 10.64 work RVU, about $527.73 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 10.64
- PE RVU (non-facility)
- 2.44
- PE RVU (facility)
- 2.44
- MP RVU
- 2.72
- Office payment
- $527.73
- Facility payment
- $527.73
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 34490 in a non-facility setting with national GPCI: (10.64 + 2.44 + 2.72) × $33.4009 ≈ $527.73. The same code in a facility setting pays about $527.73 because facility PE RVU (2.44) replaces office PE RVU.
What changes by locality
GPCI moves 34490 non-facility payment from $461.44 to $669.99 across CMS localities — from Wisconsin to Miami. 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 34490?
10.64. 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 34490 in 2026?
About $527.73 non-facility ($527.73 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 (10.64) and malpractice RVU stay fixed; only practice expense changes (2.44 office vs 2.44 facility). That is the entire office-vs-facility payment gap.