CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 37291 RVU and Medicare Payment (2026)
Revsc evsc tpvt athr cplx ea — 6.5 work RVU, about $1,075.51 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 6.5
- PE RVU (non-facility)
- 24.35
- PE RVU (facility)
- 0.92
- MP RVU
- 1.35
- Office payment
- $1,075.51
- Facility payment
- $292.93
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 37291 in a non-facility setting with national GPCI: (6.5 + 24.35 + 1.35) × $33.4009 ≈ $1,075.51. The same code in a facility setting pays about $292.93 because facility PE RVU (0.92) replaces office PE RVU.
What changes by locality
GPCI moves 37291 non-facility payment from $938.96 to $1,437.95 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 37291?
6.5. 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 37291 in 2026?
About $1,075.51 non-facility ($292.93 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 (6.5) and malpractice RVU stay fixed; only practice expense changes (24.35 office vs 0.92 facility). That is the entire office-vs-facility payment gap.