CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 37269 RVU and Medicare Payment (2026)
Revsc evasc fpvt st cplx 1st — 14.75 work RVU, about $11,553.37 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 14.75
- PE RVU (non-facility)
- 327.62
- PE RVU (facility)
- 1.92
- MP RVU
- 3.53
- Office payment
- $11,553.37
- Facility payment
- $674.7
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 37269 in a non-facility setting with national GPCI: (14.75 + 327.62 + 3.53) × $33.4009 ≈ $11,553.37. The same code in a facility setting pays about $674.7 because facility PE RVU (1.92) replaces office PE RVU.
What changes by locality
GPCI moves 37269 non-facility payment from $9,953.25 to $16,389.58 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 37269?
14.75. 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 37269 in 2026?
About $11,553.37 non-facility ($674.7 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 (14.75) and malpractice RVU stay fixed; only practice expense changes (327.62 office vs 1.92 facility). That is the entire office-vs-facility payment gap.