CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 35286 RVU and Medicare Payment (2026)
Rpr blvsl grf oth/th vn lxtr — 16.76 work RVU, about $841.7 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 16.76
- PE RVU (non-facility)
- 4.18
- PE RVU (facility)
- 4.18
- MP RVU
- 4.26
- Office payment
- $841.7
- Facility payment
- $841.7
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 35286 in a non-facility setting with national GPCI: (16.76 + 4.18 + 4.26) × $33.4009 ≈ $841.7. The same code in a facility setting pays about $841.7 because facility PE RVU (4.18) replaces office PE RVU.
What changes by locality
GPCI moves 35286 non-facility payment from $737.38 to $1,066.79 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 35286?
16.76. 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 35286 in 2026?
About $841.7 non-facility ($841.7 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 (16.76) and malpractice RVU stay fixed; only practice expense changes (4.18 office vs 4.18 facility). That is the entire office-vs-facility payment gap.