CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 36245 RVU and Medicare Payment (2026)
Ins cath abd/l-ext art 1st — 4.53 work RVU, about $1,198.76 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 4.53
- PE RVU (non-facility)
- 30.5
- PE RVU (facility)
- 0.81
- MP RVU
- 0.86
- Office payment
- $1,198.76
- Facility payment
- $207.09
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 36245 in a non-facility setting with national GPCI: (4.53 + 30.5 + 0.86) × $33.4009 ≈ $1,198.76. The same code in a facility setting pays about $207.09 because facility PE RVU (0.81) replaces office PE RVU.
What changes by locality
GPCI moves 36245 non-facility payment from $1,041.19 to $1,652.35 across CMS localities — from Arkansas to San Jose-sunnyvale-santa Clara (san Benito Cnty). 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 36245?
4.53. 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 36245 in 2026?
About $1,198.76 non-facility ($207.09 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 (4.53) and malpractice RVU stay fixed; only practice expense changes (30.5 office vs 0.81 facility). That is the entire office-vs-facility payment gap.