CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 40700 RVU and Medicare Payment (2026)
Repair cleft lip/nasal — 13.82 work RVU, about $911.51 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 13.82
- PE RVU (non-facility)
- 10.9
- PE RVU (facility)
- 10.9
- MP RVU
- 2.57
- Office payment
- $911.51
- Facility payment
- $911.51
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 40700 in a non-facility setting with national GPCI: (13.82 + 10.9 + 2.57) × $33.4009 ≈ $911.51. The same code in a facility setting pays about $911.51 because facility PE RVU (10.9) replaces office PE RVU.
What changes by locality
GPCI moves 40700 non-facility payment from $818.54 to $1,127.43 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 40700?
13.82. 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 40700 in 2026?
About $911.51 non-facility ($911.51 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 (13.82) and malpractice RVU stay fixed; only practice expense changes (10.9 office vs 10.9 facility). That is the entire office-vs-facility payment gap.