CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 37262 RVU and Medicare Payment (2026)
Iv lithotrp ivt w/in sm art — 3 work RVU, about $3,409.23 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 3
- PE RVU (non-facility)
- 98.47
- PE RVU (facility)
- 0.47
- MP RVU
- 0.6
- Office payment
- $3,409.23
- Facility payment
- $135.94
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 37262 in a non-facility setting with national GPCI: (3 + 98.47 + 0.6) × $33.4009 ≈ $3,409.23. The same code in a facility setting pays about $135.94 because facility PE RVU (0.47) replaces office PE RVU.
What changes by locality
GPCI moves 37262 non-facility payment from $2,935.76 to $4,864.69 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 37262?
3. 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 37262 in 2026?
About $3,409.23 non-facility ($135.94 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) and malpractice RVU stay fixed; only practice expense changes (98.47 office vs 0.47 facility). That is the entire office-vs-facility payment gap.