CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 35226 RVU and Medicare Payment (2026)
Repair blood vessel dir lxtr — 14.92 work RVU, about $756.53 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 14.92
- PE RVU (non-facility)
- 3.98
- PE RVU (facility)
- 3.98
- MP RVU
- 3.75
- Office payment
- $756.53
- Facility payment
- $756.53
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 35226 in a non-facility setting with national GPCI: (14.92 + 3.98 + 3.75) × $33.4009 ≈ $756.53. The same code in a facility setting pays about $756.53 because facility PE RVU (3.98) replaces office PE RVU.
What changes by locality
GPCI moves 35226 non-facility payment from $664.27 to $958.1 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 35226?
14.92. 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 35226 in 2026?
About $756.53 non-facility ($756.53 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 (14.92) and malpractice RVU stay fixed; only practice expense changes (3.98 office vs 3.98 facility). That is the entire office-vs-facility payment gap.