CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 35642 RVU and Medicare Payment (2026)
Bpg carotid-vertebral — 18.47 work RVU, about $904.83 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 18.47
- PE RVU (non-facility)
- 3.9
- PE RVU (facility)
- 3.9
- MP RVU
- 4.72
- Office payment
- $904.83
- Facility payment
- $904.83
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 35642 in a non-facility setting with national GPCI: (18.47 + 3.9 + 4.72) × $33.4009 ≈ $904.83. The same code in a facility setting pays about $904.83 because facility PE RVU (3.9) replaces office PE RVU.
What changes by locality
GPCI moves 35642 non-facility payment from $790.26 to $1,151.22 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 35642?
18.47. 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 35642 in 2026?
About $904.83 non-facility ($904.83 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 (18.47) and malpractice RVU stay fixed; only practice expense changes (3.9 office vs 3.9 facility). That is the entire office-vs-facility payment gap.