CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 49593 RVU and Medicare Payment (2026)
Rpr aa hrn 1st 3-10 rdc — 10 work RVU, about $525.06 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 10
- PE RVU (non-facility)
- 3.11
- PE RVU (facility)
- 3.11
- MP RVU
- 2.61
- Office payment
- $525.06
- Facility payment
- $525.06
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 49593 in a non-facility setting with national GPCI: (10 + 3.11 + 2.61) × $33.4009 ≈ $525.06. The same code in a facility setting pays about $525.06 because facility PE RVU (3.11) replaces office PE RVU.
What changes by locality
GPCI moves 49593 non-facility payment from $460.37 to $662.61 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 49593?
10. 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 49593 in 2026?
About $525.06 non-facility ($525.06 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 (10) and malpractice RVU stay fixed; only practice expense changes (3.11 office vs 3.11 facility). That is the entire office-vs-facility payment gap.