CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 49406 RVU and Medicare Payment (2026)
Image cath fluid peri/retro — 3.9 work RVU, about $837.03 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 3.9
- PE RVU (non-facility)
- 20.74
- PE RVU (facility)
- 0.67
- MP RVU
- 0.42
- Office payment
- $837.03
- Facility payment
- $166.67
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 49406 in a non-facility setting with national GPCI: (3.9 + 20.74 + 0.42) × $33.4009 ≈ $837.03. The same code in a facility setting pays about $166.67 because facility PE RVU (0.67) replaces office PE RVU.
What changes by locality
GPCI moves 49406 non-facility payment from $732.55 to $1,151.04 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 49406?
3.9. 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 49406 in 2026?
About $837.03 non-facility ($166.67 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 (3.9) and malpractice RVU stay fixed; only practice expense changes (20.74 office vs 0.67 facility). That is the entire office-vs-facility payment gap.