CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 36246 RVU and Medicare Payment (2026)
Ins cath abd/l-ext art 2nd — 4.89 work RVU, about $797.95 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 4.89
- PE RVU (non-facility)
- 17.95
- PE RVU (facility)
- 0.69
- MP RVU
- 1.05
- Office payment
- $797.95
- Facility payment
- $221.45
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 36246 in a non-facility setting with national GPCI: (4.89 + 17.95 + 1.05) × $33.4009 ≈ $797.95. The same code in a facility setting pays about $221.45 because facility PE RVU (0.69) replaces office PE RVU.
What changes by locality
GPCI moves 36246 non-facility payment from $696.4 to $1,064.64 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 36246?
4.89. 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 36246 in 2026?
About $797.95 non-facility ($221.45 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 (4.89) and malpractice RVU stay fixed; only practice expense changes (17.95 office vs 0.69 facility). That is the entire office-vs-facility payment gap.