CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 35656 RVU and Medicare Payment (2026)
Bpg femoral-popliteal — 19.96 work RVU, about $971.97 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 19.96
- PE RVU (non-facility)
- 4.07
- PE RVU (facility)
- 4.07
- MP RVU
- 5.07
- Office payment
- $971.97
- Facility payment
- $971.97
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 35656 in a non-facility setting with national GPCI: (19.96 + 4.07 + 5.07) × $33.4009 ≈ $971.97. The same code in a facility setting pays about $971.97 because facility PE RVU (4.07) replaces office PE RVU.
What changes by locality
GPCI moves 35656 non-facility payment from $849.07 to $1,238.11 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 35656?
19.96. 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 35656 in 2026?
About $971.97 non-facility ($971.97 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 (19.96) and malpractice RVU stay fixed; only practice expense changes (4.07 office vs 4.07 facility). That is the entire office-vs-facility payment gap.