CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31

CPT 37256 RVU and Medicare Payment (2026)

Revsc evasc ivt angio cplx 1 — 10.75 work RVU, about $2,430.25 non-facility Medicare payment at the 2026 conversion factor.

Work RVU
10.75
PE RVU (non-facility)
59.5
PE RVU (facility)
1.47
MP RVU
2.51
Office payment
$2,430.25
Facility payment
$492

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 37256 in a non-facility setting with national GPCI: (10.75 + 59.5 + 2.51) × $33.4009 ≈ $2,430.25. The same code in a facility setting pays about $492 because facility PE RVU (1.47) replaces office PE RVU.

What changes by locality

GPCI moves 37256 non-facility payment from $2,109.37 to $3,309.26 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 37256?

10.75. 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 37256 in 2026?

About $2,430.25 non-facility ($492 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 (10.75) and malpractice RVU stay fixed; only practice expense changes (59.5 office vs 1.47 facility). That is the entire office-vs-facility payment gap.