CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 37278 RVU and Medicare Payment (2026)
Rvsc evsc fpvt st ath cpx ea — 6 work RVU, about $3,874.17 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 6
- PE RVU (non-facility)
- 108.64
- PE RVU (facility)
- 0.76
- MP RVU
- 1.35
- Office payment
- $3,874.17
- Facility payment
- $270.88
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 37278 in a non-facility setting with national GPCI: (6 + 108.64 + 1.35) × $33.4009 ≈ $3,874.17. The same code in a facility setting pays about $270.88 because facility PE RVU (0.76) replaces office PE RVU.
What changes by locality
GPCI moves 37278 non-facility payment from $3,340.66 to $5,479.17 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 37278?
6. 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 37278 in 2026?
About $3,874.17 non-facility ($270.88 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 (6) and malpractice RVU stay fixed; only practice expense changes (108.64 office vs 0.76 facility). That is the entire office-vs-facility payment gap.