CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 50430 RVU and Medicare Payment (2026)
Njx px nfrosgrm &/urtrgrm — 2.83 work RVU, about $616.91 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 2.83
- PE RVU (non-facility)
- 15.3
- PE RVU (facility)
- 0.89
- MP RVU
- 0.34
- Office payment
- $616.91
- Facility payment
- $135.61
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 50430 in a non-facility setting with national GPCI: (2.83 + 15.3 + 0.34) × $33.4009 ≈ $616.91. The same code in a facility setting pays about $135.61 because facility PE RVU (0.89) replaces office PE RVU.
What changes by locality
GPCI moves 50430 non-facility payment from $539.35 to $847.92 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 50430?
2.83. 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 50430 in 2026?
About $616.91 non-facility ($135.61 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 (2.83) and malpractice RVU stay fixed; only practice expense changes (15.3 office vs 0.89 facility). That is the entire office-vs-facility payment gap.