CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 34704 RVU and Medicare Payment (2026)
Evasc rpr a-unilac ndgft rpt — 43.88 work RVU, about $2,019.42 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 43.88
- PE RVU (non-facility)
- 5.33
- PE RVU (facility)
- 5.33
- MP RVU
- 11.25
- Office payment
- $2,019.42
- Facility payment
- $2,019.42
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 34704 in a non-facility setting with national GPCI: (43.88 + 5.33 + 11.25) × $33.4009 ≈ $2,019.42. The same code in a facility setting pays about $2,019.42 because facility PE RVU (5.33) replaces office PE RVU.
What changes by locality
GPCI moves 34704 non-facility payment from $1,751.92 to $2,601.25 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 34704?
43.88. 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 34704 in 2026?
About $2,019.42 non-facility ($2,019.42 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 (43.88) and malpractice RVU stay fixed; only practice expense changes (5.33 office vs 5.33 facility). That is the entire office-vs-facility payment gap.