CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 41100 RVU and Medicare Payment (2026)
Biopsy of tongue — 1.38 work RVU, about $188.05 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 1.38
- PE RVU (non-facility)
- 4.06
- PE RVU (facility)
- 1.35
- MP RVU
- 0.19
- Office payment
- $188.05
- Facility payment
- $97.53
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 41100 in a non-facility setting with national GPCI: (1.38 + 4.06 + 0.19) × $33.4009 ≈ $188.05. The same code in a facility setting pays about $97.53 because facility PE RVU (1.35) replaces office PE RVU.
What changes by locality
GPCI moves 41100 non-facility payment from $165.85 to $250.11 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 41100?
1.38. 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 41100 in 2026?
About $188.05 non-facility ($97.53 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 (1.38) and malpractice RVU stay fixed; only practice expense changes (4.06 office vs 1.35 facility). That is the entire office-vs-facility payment gap.