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

CPT 37265 RVU and Medicare Payment (2026)

Revsc evsc fpvt angio cplx 1 — 10.5 work RVU, about $6,828.15 non-facility Medicare payment at the 2026 conversion factor.

Work RVU
10.5
PE RVU (non-facility)
191.45
PE RVU (facility)
1.44
MP RVU
2.48
Office payment
$6,828.15
Facility payment
$481.64

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 37265 in a non-facility setting with national GPCI: (10.5 + 191.45 + 2.48) × $33.4009 ≈ $6,828.15. The same code in a facility setting pays about $481.64 because facility PE RVU (1.44) replaces office PE RVU.

What changes by locality

GPCI moves 37265 non-facility payment from $5,886.33 to $9,654.7 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 37265?

10.5. 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 37265 in 2026?

About $6,828.15 non-facility ($481.64 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 (10.5) and malpractice RVU stay fixed; only practice expense changes (191.45 office vs 1.44 facility). That is the entire office-vs-facility payment gap.