CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 37285 RVU and Medicare Payment (2026)
Revsc evasc tpvt st sf ea — 3.34 work RVU, about $2,787.97 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 3.34
- PE RVU (non-facility)
- 79.4
- PE RVU (facility)
- 0.49
- MP RVU
- 0.73
- Office payment
- $2,787.97
- Facility payment
- $152.31
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 37285 in a non-facility setting with national GPCI: (3.34 + 79.4 + 0.73) × $33.4009 ≈ $2,787.97. The same code in a facility setting pays about $152.31 because facility PE RVU (0.49) replaces office PE RVU.
What changes by locality
GPCI moves 37285 non-facility payment from $2,402.21 to $3,961.13 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 37285?
3.34. 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 37285 in 2026?
About $2,787.97 non-facility ($152.31 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 (3.34) and malpractice RVU stay fixed; only practice expense changes (79.4 office vs 0.49 facility). That is the entire office-vs-facility payment gap.