CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 38120 RVU and Medicare Payment (2026)
Laparoscopy splenectomy — 16.64 work RVU, about $998.69 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 16.64
- PE RVU (non-facility)
- 9.02
- PE RVU (facility)
- 9.02
- MP RVU
- 4.24
- Office payment
- $998.69
- Facility payment
- $998.69
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 38120 in a non-facility setting with national GPCI: (16.64 + 9.02 + 4.24) × $33.4009 ≈ $998.69. The same code in a facility setting pays about $998.69 because facility PE RVU (9.02) replaces office PE RVU.
What changes by locality
GPCI moves 38120 non-facility payment from $887.4 to $1,232.58 across CMS localities — from Nebraska 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 38120?
16.64. 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 38120 in 2026?
About $998.69 non-facility ($998.69 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 (16.64) and malpractice RVU stay fixed; only practice expense changes (9.02 office vs 9.02 facility). That is the entire office-vs-facility payment gap.