CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 35901 RVU and Medicare Payment (2026)
Excision graft neck — 8.17 work RVU, about $438.89 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 8.17
- PE RVU (non-facility)
- 2.89
- PE RVU (facility)
- 2.89
- MP RVU
- 2.08
- Office payment
- $438.89
- Facility payment
- $438.89
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 35901 in a non-facility setting with national GPCI: (8.17 + 2.89 + 2.08) × $33.4009 ≈ $438.89. The same code in a facility setting pays about $438.89 because facility PE RVU (2.89) replaces office PE RVU.
What changes by locality
GPCI moves 35901 non-facility payment from $386.76 to $550.41 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 35901?
8.17. 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 35901 in 2026?
About $438.89 non-facility ($438.89 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 (8.17) and malpractice RVU stay fixed; only practice expense changes (2.89 office vs 2.89 facility). That is the entire office-vs-facility payment gap.