CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 36262 RVU and Medicare Payment (2026)
Removal of infusion pump — 4.01 work RVU, about $316.31 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 4.01
- PE RVU (non-facility)
- 4.38
- PE RVU (facility)
- 4.38
- MP RVU
- 1.08
- Office payment
- $316.31
- Facility payment
- $316.31
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 36262 in a non-facility setting with national GPCI: (4.01 + 4.38 + 1.08) × $33.4009 ≈ $316.31. The same code in a facility setting pays about $316.31 because facility PE RVU (4.38) replaces office PE RVU.
What changes by locality
GPCI moves 36262 non-facility payment from $278.18 to $383.44 across CMS localities — from Arkansas to Nyc Suburbs/long Island. 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 36262?
4.01. 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 36262 in 2026?
About $316.31 non-facility ($316.31 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 (4.01) and malpractice RVU stay fixed; only practice expense changes (4.38 office vs 4.38 facility). That is the entire office-vs-facility payment gap.