CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 49014 RVU and Medicare Payment (2026)
Reexploration pelvic wound — 6.56 work RVU, about $346.03 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 6.56
- PE RVU (non-facility)
- 2.05
- PE RVU (facility)
- 2.05
- MP RVU
- 1.75
- Office payment
- $346.03
- Facility payment
- $346.03
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 49014 in a non-facility setting with national GPCI: (6.56 + 2.05 + 1.75) × $33.4009 ≈ $346.03. The same code in a facility setting pays about $346.03 because facility PE RVU (2.05) replaces office PE RVU.
What changes by locality
GPCI moves 49014 non-facility payment from $302.71 to $438.21 across CMS localities — from Wisconsin to Miami. 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 49014?
6.56. 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 49014 in 2026?
About $346.03 non-facility ($346.03 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 (6.56) and malpractice RVU stay fixed; only practice expense changes (2.05 office vs 2.05 facility). That is the entire office-vs-facility payment gap.