CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 35566 RVU and Medicare Payment (2026)
Art byp fem-ant-post tib/prl — 31.54 work RVU, about $1,501.7 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 31.54
- PE RVU (non-facility)
- 5.36
- PE RVU (facility)
- 5.36
- MP RVU
- 8.06
- Office payment
- $1,501.7
- Facility payment
- $1,501.7
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 35566 in a non-facility setting with national GPCI: (31.54 + 5.36 + 8.06) × $33.4009 ≈ $1,501.7. The same code in a facility setting pays about $1,501.7 because facility PE RVU (5.36) replaces office PE RVU.
What changes by locality
GPCI moves 35566 non-facility payment from $1,307.89 to $1,920.67 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 35566?
31.54. 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 35566 in 2026?
About $1,501.7 non-facility ($1,501.7 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 (31.54) and malpractice RVU stay fixed; only practice expense changes (5.36 office vs 5.36 facility). That is the entire office-vs-facility payment gap.