CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 37294 RVU and Medicare Payment (2026)
Rvsc evsc tpvt st athr cpx 1 — 18 work RVU, about $15,198.75 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 18
- PE RVU (non-facility)
- 433.39
- PE RVU (facility)
- 2.72
- MP RVU
- 3.65
- Office payment
- $15,198.75
- Facility payment
- $813.98
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 37294 in a non-facility setting with national GPCI: (18 + 433.39 + 3.65) × $33.4009 ≈ $15,198.75. The same code in a facility setting pays about $813.98 because facility PE RVU (2.72) replaces office PE RVU.
What changes by locality
GPCI moves 37294 non-facility payment from $13,098.56 to $21,606.53 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 37294?
18. 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 37294 in 2026?
About $15,198.75 non-facility ($813.98 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 (18) and malpractice RVU stay fixed; only practice expense changes (433.39 office vs 2.72 facility). That is the entire office-vs-facility payment gap.