CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 36420 RVU and Medicare Payment (2026)
Venipuncture cutdown < 1 yr — 0.98 work RVU, about $46.09 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 0.98
- PE RVU (non-facility)
- 0.16
- PE RVU (facility)
- 0.16
- MP RVU
- 0.24
- Office payment
- $46.09
- Facility payment
- $46.09
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 36420 in a non-facility setting with national GPCI: (0.98 + 0.16 + 0.24) × $33.4009 ≈ $46.09. The same code in a facility setting pays about $46.09 because facility PE RVU (0.16) replaces office PE RVU.
What changes by locality
GPCI moves 36420 non-facility payment from $40.32 to $59.21 across CMS localities — from Wisconsin to Alaska. 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 36420?
0.98. 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 36420 in 2026?
About $46.09 non-facility ($46.09 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 (0.98) and malpractice RVU stay fixed; only practice expense changes (0.16 office vs 0.16 facility). That is the entire office-vs-facility payment gap.