CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 37243 RVU and Medicare Payment (2026)
Vasc embolize/occlude organ — 11.45 work RVU, about $7,995.17 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 11.45
- PE RVU (non-facility)
- 226.62
- PE RVU (facility)
- 1.69
- MP RVU
- 1.3
- Office payment
- $7,995.17
- Facility payment
- $482.31
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 37243 in a non-facility setting with national GPCI: (11.45 + 226.62 + 1.3) × $33.4009 ≈ $7,995.17. The same code in a facility setting pays about $482.31 because facility PE RVU (1.69) replaces office PE RVU.
What changes by locality
GPCI moves 37243 non-facility payment from $6,906.84 to $11,362.73 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 37243?
11.45. 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 37243 in 2026?
About $7,995.17 non-facility ($482.31 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 (11.45) and malpractice RVU stay fixed; only practice expense changes (226.62 office vs 1.69 facility). That is the entire office-vs-facility payment gap.