CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 37616 RVU and Medicare Payment (2026)
Ligation major artery chest — 18.5 work RVU, about $1,070.83 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 18.5
- PE RVU (non-facility)
- 9
- PE RVU (facility)
- 9
- MP RVU
- 4.56
- Office payment
- $1,070.83
- Facility payment
- $1,070.83
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 37616 in a non-facility setting with national GPCI: (18.5 + 9 + 4.56) × $33.4009 ≈ $1,070.83. The same code in a facility setting pays about $1,070.83 because facility PE RVU (9) replaces office PE RVU.
What changes by locality
GPCI moves 37616 non-facility payment from $952.81 to $1,330.94 across CMS localities — from Wisconsin to Alaska. 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 37616?
18.5. 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 37616 in 2026?
About $1,070.83 non-facility ($1,070.83 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 (18.5) and malpractice RVU stay fixed; only practice expense changes (9 office vs 9 facility). That is the entire office-vs-facility payment gap.