CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 34812 RVU and Medicare Payment (2026)
Opn fem art expos — 4.03 work RVU, about $185.04 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 4.03
- PE RVU (non-facility)
- 0.47
- PE RVU (facility)
- 0.47
- MP RVU
- 1.04
- Office payment
- $185.04
- Facility payment
- $185.04
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 34812 in a non-facility setting with national GPCI: (4.03 + 0.47 + 1.04) × $33.4009 ≈ $185.04. The same code in a facility setting pays about $185.04 because facility PE RVU (0.47) replaces office PE RVU.
What changes by locality
GPCI moves 34812 non-facility payment from $160.34 to $238.8 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 34812?
4.03. 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 34812 in 2026?
About $185.04 non-facility ($185.04 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 (4.03) and malpractice RVU stay fixed; only practice expense changes (0.47 office vs 0.47 facility). That is the entire office-vs-facility payment gap.