CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 35538 RVU and Medicare Payment (2026)
Art byp grft aortobi-iliac — 45.85 work RVU, about $2,118.29 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 45.85
- PE RVU (non-facility)
- 5.82
- PE RVU (facility)
- 5.82
- MP RVU
- 11.75
- Office payment
- $2,118.29
- Facility payment
- $2,118.29
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 35538 in a non-facility setting with national GPCI: (45.85 + 5.82 + 11.75) × $33.4009 ≈ $2,118.29. The same code in a facility setting pays about $2,118.29 because facility PE RVU (5.82) replaces office PE RVU.
What changes by locality
GPCI moves 35538 non-facility payment from $1,838.54 to $2,726.33 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 35538?
45.85. 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 35538 in 2026?
About $2,118.29 non-facility ($2,118.29 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 (45.85) and malpractice RVU stay fixed; only practice expense changes (5.82 office vs 5.82 facility). That is the entire office-vs-facility payment gap.