CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 38570 RVU and Medicare Payment (2026)
Laparoscopy lymph node biop — 8.28 work RVU, about $480.64 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 8.28
- PE RVU (non-facility)
- 4.38
- PE RVU (facility)
- 4.38
- MP RVU
- 1.73
- Office payment
- $480.64
- Facility payment
- $480.64
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 38570 in a non-facility setting with national GPCI: (8.28 + 4.38 + 1.73) × $33.4009 ≈ $480.64. The same code in a facility setting pays about $480.64 because facility PE RVU (4.38) replaces office PE RVU.
What changes by locality
GPCI moves 38570 non-facility payment from $431.99 to $602.48 across CMS localities — from Arkansas 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 38570?
8.28. 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 38570 in 2026?
About $480.64 non-facility ($480.64 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 (8.28) and malpractice RVU stay fixed; only practice expense changes (4.38 office vs 4.38 facility). That is the entire office-vs-facility payment gap.