CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 35206 RVU and Medicare Payment (2026)
Repair blood vessel dir uxtr — 13.49 work RVU, about $724.13 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 13.49
- PE RVU (non-facility)
- 5.06
- PE RVU (facility)
- 5.06
- MP RVU
- 3.13
- Office payment
- $724.13
- Facility payment
- $724.13
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 35206 in a non-facility setting with national GPCI: (13.49 + 5.06 + 3.13) × $33.4009 ≈ $724.13. The same code in a facility setting pays about $724.13 because facility PE RVU (5.06) replaces office PE RVU.
What changes by locality
GPCI moves 35206 non-facility payment from $644.69 to $913.47 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 35206?
13.49. 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 35206 in 2026?
About $724.13 non-facility ($724.13 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 (13.49) and malpractice RVU stay fixed; only practice expense changes (5.06 office vs 5.06 facility). That is the entire office-vs-facility payment gap.