CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 40814 RVU and Medicare Payment (2026)
Excise/repair mouth lesion — 3.43 work RVU, about $382.11 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 3.43
- PE RVU (non-facility)
- 7.57
- PE RVU (facility)
- 4.05
- MP RVU
- 0.44
- Office payment
- $382.11
- Facility payment
- $264.54
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 40814 in a non-facility setting with national GPCI: (3.43 + 7.57 + 0.44) × $33.4009 ≈ $382.11. The same code in a facility setting pays about $264.54 because facility PE RVU (4.05) replaces office PE RVU.
What changes by locality
GPCI moves 40814 non-facility payment from $339.33 to $499.65 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 40814?
3.43. 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 40814 in 2026?
About $382.11 non-facility ($264.54 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 (3.43) and malpractice RVU stay fixed; only practice expense changes (7.57 office vs 4.05 facility). That is the entire office-vs-facility payment gap.