CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 37261 RVU and Medicare Payment (2026)
Revsc evasc ivt st cplx ea — 4.25 work RVU, about $3,361.47 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 4.25
- PE RVU (non-facility)
- 95.35
- PE RVU (facility)
- 0.48
- MP RVU
- 1.04
- Office payment
- $3,361.47
- Facility payment
- $192.72
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 37261 in a non-facility setting with national GPCI: (4.25 + 95.35 + 1.04) × $33.4009 ≈ $3,361.47. The same code in a facility setting pays about $192.72 because facility PE RVU (0.48) replaces office PE RVU.
What changes by locality
GPCI moves 37261 non-facility payment from $2,895.57 to $4,768.63 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 37261?
4.25. 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 37261 in 2026?
About $3,361.47 non-facility ($192.72 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 (4.25) and malpractice RVU stay fixed; only practice expense changes (95.35 office vs 0.48 facility). That is the entire office-vs-facility payment gap.