CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 36460 RVU and Medicare Payment (2026)
Intrauterine transfusion ftl — 6.42 work RVU, about $297.6 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 6.42
- PE RVU (non-facility)
- 1.36
- PE RVU (facility)
- 1.36
- MP RVU
- 1.13
- Office payment
- $297.6
- Facility payment
- $297.6
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 36460 in a non-facility setting with national GPCI: (6.42 + 1.36 + 1.13) × $33.4009 ≈ $297.6. The same code in a facility setting pays about $297.6 because facility PE RVU (1.36) replaces office PE RVU.
What changes by locality
GPCI moves 36460 non-facility payment from $269.58 to $390.82 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 36460?
6.42. 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 36460 in 2026?
About $297.6 non-facility ($297.6 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 (6.42) and malpractice RVU stay fixed; only practice expense changes (1.36 office vs 1.36 facility). That is the entire office-vs-facility payment gap.