CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 36819 RVU and Medicare Payment (2026)
Av fuse uppr arm basilic — 12.96 work RVU, about $663.68 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 12.96
- PE RVU (non-facility)
- 3.6
- PE RVU (facility)
- 3.6
- MP RVU
- 3.31
- Office payment
- $663.68
- Facility payment
- $663.68
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 36819 in a non-facility setting with national GPCI: (12.96 + 3.6 + 3.31) × $33.4009 ≈ $663.68. The same code in a facility setting pays about $663.68 because facility PE RVU (3.6) replaces office PE RVU.
What changes by locality
GPCI moves 36819 non-facility payment from $582.12 to $838.29 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 36819?
12.96. 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 36819 in 2026?
About $663.68 non-facility ($663.68 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 (12.96) and malpractice RVU stay fixed; only practice expense changes (3.6 office vs 3.6 facility). That is the entire office-vs-facility payment gap.