CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31

CPT 35626 RVU and Medicare Payment (2026)

Bpg aor-subcla/innom/carotid — 28.41 work RVU, about $1,481.33 non-facility Medicare payment at the 2026 conversion factor.

Work RVU
28.41
PE RVU (non-facility)
8.89
PE RVU (facility)
8.89
MP RVU
7.05
Office payment
$1,481.33
Facility payment
$1,481.33

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 35626 in a non-facility setting with national GPCI: (28.41 + 8.89 + 7.05) × $33.4009 ≈ $1,481.33. The same code in a facility setting pays about $1,481.33 because facility PE RVU (8.89) replaces office PE RVU.

What changes by locality

GPCI moves 35626 non-facility payment from $1,305.91 to $1,869.36 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 35626?

28.41. 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 35626 in 2026?

About $1,481.33 non-facility ($1,481.33 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 (28.41) and malpractice RVU stay fixed; only practice expense changes (8.89 office vs 8.89 facility). That is the entire office-vs-facility payment gap.