CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 39402 RVU and Medicare Payment (2026)
Mediastinoscpy w/lmph nod bx — 7.07 work RVU, about $377.76 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 7.07
- PE RVU (non-facility)
- 2.48
- PE RVU (facility)
- 2.48
- MP RVU
- 1.76
- Office payment
- $377.76
- Facility payment
- $377.76
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 39402 in a non-facility setting with national GPCI: (7.07 + 2.48 + 1.76) × $33.4009 ≈ $377.76. The same code in a facility setting pays about $377.76 because facility PE RVU (2.48) replaces office PE RVU.
What changes by locality
GPCI moves 39402 non-facility payment from $333.61 to $474.83 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 39402?
7.07. 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 39402 in 2026?
About $377.76 non-facility ($377.76 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 (7.07) and malpractice RVU stay fixed; only practice expense changes (2.48 office vs 2.48 facility). That is the entire office-vs-facility payment gap.