CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 36252 RVU and Medicare Payment (2026)
Ins cath ren art 1st bilat — 6.57 work RVU, about $1,343.38 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 6.57
- PE RVU (non-facility)
- 32.17
- PE RVU (facility)
- 1.22
- MP RVU
- 1.48
- Office payment
- $1,343.38
- Facility payment
- $309.63
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 36252 in a non-facility setting with national GPCI: (6.57 + 32.17 + 1.48) × $33.4009 ≈ $1,343.38. The same code in a facility setting pays about $309.63 because facility PE RVU (1.22) replaces office PE RVU.
What changes by locality
GPCI moves 36252 non-facility payment from $1,167.9 to $1,819.52 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 36252?
6.57. 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 36252 in 2026?
About $1,343.38 non-facility ($309.63 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 (6.57) and malpractice RVU stay fixed; only practice expense changes (32.17 office vs 1.22 facility). That is the entire office-vs-facility payment gap.