CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 35266 RVU and Medicare Payment (2026)
Rpr blvsl grf oth/th vn uxtr — 15.43 work RVU, about $787.93 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 15.43
- PE RVU (non-facility)
- 4.24
- PE RVU (facility)
- 4.24
- MP RVU
- 3.92
- Office payment
- $787.93
- Facility payment
- $787.93
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 35266 in a non-facility setting with national GPCI: (15.43 + 4.24 + 3.92) × $33.4009 ≈ $787.93. The same code in a facility setting pays about $787.93 because facility PE RVU (4.24) replaces office PE RVU.
What changes by locality
GPCI moves 35266 non-facility payment from $691.37 to $996.03 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 35266?
15.43. 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 35266 in 2026?
About $787.93 non-facility ($787.93 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 (15.43) and malpractice RVU stay fixed; only practice expense changes (4.24 office vs 4.24 facility). That is the entire office-vs-facility payment gap.