CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 49592 RVU and Medicare Payment (2026)
Rpr aa hrn 1st < 3 ncr/strn — 8.25 work RVU, about $436.88 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 8.25
- PE RVU (non-facility)
- 2.67
- PE RVU (facility)
- 2.67
- MP RVU
- 2.16
- Office payment
- $436.88
- Facility payment
- $436.88
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 49592 in a non-facility setting with national GPCI: (8.25 + 2.67 + 2.16) × $33.4009 ≈ $436.88. The same code in a facility setting pays about $436.88 because facility PE RVU (2.67) replaces office PE RVU.
What changes by locality
GPCI moves 49592 non-facility payment from $383.21 to $550.85 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 49592?
8.25. 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 49592 in 2026?
About $436.88 non-facility ($436.88 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 (8.25) and malpractice RVU stay fixed; only practice expense changes (2.67 office vs 2.67 facility). That is the entire office-vs-facility payment gap.