CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 49615 RVU and Medicare Payment (2026)
Rpr aa hrn rcr 3-10 rdc — 11.17 work RVU, about $583.85 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 11.17
- PE RVU (non-facility)
- 3.4
- PE RVU (facility)
- 3.4
- MP RVU
- 2.91
- Office payment
- $583.85
- Facility payment
- $583.85
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 49615 in a non-facility setting with national GPCI: (11.17 + 3.4 + 2.91) × $33.4009 ≈ $583.85. The same code in a facility setting pays about $583.85 because facility PE RVU (3.4) replaces office PE RVU.
What changes by locality
GPCI moves 49615 non-facility payment from $511.82 to $737.12 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 49615?
11.17. 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 49615 in 2026?
About $583.85 non-facility ($583.85 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 (11.17) and malpractice RVU stay fixed; only practice expense changes (3.4 office vs 3.4 facility). That is the entire office-vs-facility payment gap.