CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31

CPT 50070 RVU and Medicare Payment (2026)

Nl comp cgen kdn abnormality — 21.3 work RVU, about $1,057.81 non-facility Medicare payment at the 2026 conversion factor.

Work RVU
21.3
PE RVU (non-facility)
7.63
PE RVU (facility)
7.63
MP RVU
2.74
Office payment
$1,057.81
Facility payment
$1,057.81

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 50070 in a non-facility setting with national GPCI: (21.3 + 7.63 + 2.74) × $33.4009 ≈ $1,057.81. The same code in a facility setting pays about $1,057.81 because facility PE RVU (7.63) replaces office PE RVU.

What changes by locality

GPCI moves 50070 non-facility payment from $977.49 to $1,389 across CMS localities — from Arkansas to Alaska. 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 50070?

21.3. 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 50070 in 2026?

About $1,057.81 non-facility ($1,057.81 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 (21.3) and malpractice RVU stay fixed; only practice expense changes (7.63 office vs 7.63 facility). That is the entire office-vs-facility payment gap.