CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 34520 RVU and Medicare Payment (2026)
Cross-over vein graft — 18.7 work RVU, about $903.16 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 18.7
- PE RVU (non-facility)
- 3.57
- PE RVU (facility)
- 3.57
- MP RVU
- 4.77
- Office payment
- $903.16
- Facility payment
- $903.16
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 34520 in a non-facility setting with national GPCI: (18.7 + 3.57 + 4.77) × $33.4009 ≈ $903.16. The same code in a facility setting pays about $903.16 because facility PE RVU (3.57) replaces office PE RVU.
What changes by locality
GPCI moves 34520 non-facility payment from $787.9 to $1,151.67 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 34520?
18.7. 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 34520 in 2026?
About $903.16 non-facility ($903.16 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 (18.7) and malpractice RVU stay fixed; only practice expense changes (3.57 office vs 3.57 facility). That is the entire office-vs-facility payment gap.