CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 37270 RVU and Medicare Payment (2026)
Revsc evasc fpvt st cplx ea — 5 work RVU, about $3,495.74 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 5
- PE RVU (non-facility)
- 98.46
- PE RVU (facility)
- 0.62
- MP RVU
- 1.2
- Office payment
- $3,495.74
- Facility payment
- $227.79
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 37270 in a non-facility setting with national GPCI: (5 + 98.46 + 1.2) × $33.4009 ≈ $3,495.74. The same code in a facility setting pays about $227.79 because facility PE RVU (0.62) replaces office PE RVU.
What changes by locality
GPCI moves 37270 non-facility payment from $3,012.6 to $4,949.1 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 37270?
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 37270 in 2026?
About $3,495.74 non-facility ($227.79 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 (5) and malpractice RVU stay fixed; only practice expense changes (98.46 office vs 0.62 facility). That is the entire office-vs-facility payment gap.