CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 37185 RVU and Medicare Payment (2026)
Prim art m-thrmbc sbsq vsl — 3.2 work RVU, about $458.93 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 3.2
- PE RVU (non-facility)
- 9.95
- PE RVU (facility)
- 0.44
- MP RVU
- 0.59
- Office payment
- $458.93
- Facility payment
- $141.29
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 37185 in a non-facility setting with national GPCI: (3.2 + 9.95 + 0.59) × $33.4009 ≈ $458.93. The same code in a facility setting pays about $141.29 because facility PE RVU (0.44) replaces office PE RVU.
What changes by locality
GPCI moves 37185 non-facility payment from $402.51 to $608.44 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 37185?
3.2. 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 37185 in 2026?
About $458.93 non-facility ($141.29 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 (3.2) and malpractice RVU stay fixed; only practice expense changes (9.95 office vs 0.44 facility). That is the entire office-vs-facility payment gap.