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

CPT 35905 RVU and Medicare Payment (2026)

Excision graft thorax — 32.68 work RVU, about $1,526.42 non-facility Medicare payment at the 2026 conversion factor.

Work RVU
32.68
PE RVU (non-facility)
4.67
PE RVU (facility)
4.67
MP RVU
8.35
Office payment
$1,526.42
Facility payment
$1,526.42

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 35905 in a non-facility setting with national GPCI: (32.68 + 4.67 + 8.35) × $33.4009 ≈ $1,526.42. The same code in a facility setting pays about $1,526.42 because facility PE RVU (4.67) replaces office PE RVU.

What changes by locality

GPCI moves 35905 non-facility payment from $1,326.87 to $1,959.25 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 35905?

32.68. 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 35905 in 2026?

About $1,526.42 non-facility ($1,526.42 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 (32.68) and malpractice RVU stay fixed; only practice expense changes (4.67 office vs 4.67 facility). That is the entire office-vs-facility payment gap.