CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 36254 RVU and Medicare Payment (2026)
Ins cath ren art 2nd+ bilat — 7.7 work RVU, about $1,909.86 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 7.7
- PE RVU (non-facility)
- 47.75
- PE RVU (facility)
- 1.42
- MP RVU
- 1.73
- Office payment
- $1,909.86
- Facility payment
- $362.4
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 36254 in a non-facility setting with national GPCI: (7.7 + 47.75 + 1.73) × $33.4009 ≈ $1,909.86. The same code in a facility setting pays about $362.4 because facility PE RVU (1.42) replaces office PE RVU.
What changes by locality
GPCI moves 36254 non-facility payment from $1,656.96 to $2,616.29 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 36254?
7.7. 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 36254 in 2026?
About $1,909.86 non-facility ($362.4 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 (7.7) and malpractice RVU stay fixed; only practice expense changes (47.75 office vs 1.42 facility). That is the entire office-vs-facility payment gap.