CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 40652 RVU and Medicare Payment (2026)
Rpr lip fth — 4.32 work RVU, about $572.83 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 4.32
- PE RVU (non-facility)
- 12.01
- PE RVU (facility)
- 5.7
- MP RVU
- 0.82
- Office payment
- $572.83
- Facility payment
- $362.07
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 40652 in a non-facility setting with national GPCI: (4.32 + 12.01 + 0.82) × $33.4009 ≈ $572.83. The same code in a facility setting pays about $362.07 because facility PE RVU (5.7) replaces office PE RVU.
What changes by locality
GPCI moves 40652 non-facility payment from $502.98 to $753.3 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 40652?
4.32. 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 40652 in 2026?
About $572.83 non-facility ($362.07 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 (4.32) and malpractice RVU stay fixed; only practice expense changes (12.01 office vs 5.7 facility). That is the entire office-vs-facility payment gap.