CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 35103 RVU and Medicare Payment (2026)
Repair artery rupture aorta — 42.53 work RVU, about $1,966.31 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 42.53
- PE RVU (non-facility)
- 5.45
- PE RVU (facility)
- 5.45
- MP RVU
- 10.89
- Office payment
- $1,966.31
- Facility payment
- $1,966.31
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 35103 in a non-facility setting with national GPCI: (42.53 + 5.45 + 10.89) × $33.4009 ≈ $1,966.31. The same code in a facility setting pays about $1,966.31 because facility PE RVU (5.45) replaces office PE RVU.
What changes by locality
GPCI moves 35103 non-facility payment from $1,706.96 to $2,529.93 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 35103?
42.53. 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 35103 in 2026?
About $1,966.31 non-facility ($1,966.31 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 (42.53) and malpractice RVU stay fixed; only practice expense changes (5.45 office vs 5.45 facility). That is the entire office-vs-facility payment gap.