CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 37286 RVU and Medicare Payment (2026)
Revsc evasc tpvt st cplx 1st — 13.46 work RVU, about $10,365.97 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 13.46
- PE RVU (non-facility)
- 293.82
- PE RVU (facility)
- 2
- MP RVU
- 3.07
- Office payment
- $10,365.97
- Facility payment
- $618.92
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 37286 in a non-facility setting with national GPCI: (13.46 + 293.82 + 3.07) × $33.4009 ≈ $10,365.97. The same code in a facility setting pays about $618.92 because facility PE RVU (2) replaces office PE RVU.
What changes by locality
GPCI moves 37286 non-facility payment from $8,932.48 to $14,705.57 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 37286?
13.46. 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 37286 in 2026?
About $10,365.97 non-facility ($618.92 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 (13.46) and malpractice RVU stay fixed; only practice expense changes (293.82 office vs 2 facility). That is the entire office-vs-facility payment gap.