CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 54700 RVU and Medicare Payment (2026)
I&d epdidyms tstis&/scrot sp — 3.38 work RVU, about $200.07 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 3.38
- PE RVU (non-facility)
- 2.13
- PE RVU (facility)
- 2.13
- MP RVU
- 0.48
- Office payment
- $200.07
- Facility payment
- $200.07
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 54700 in a non-facility setting with national GPCI: (3.38 + 2.13 + 0.48) × $33.4009 ≈ $200.07. The same code in a facility setting pays about $200.07 because facility PE RVU (2.13) replaces office PE RVU.
What changes by locality
GPCI moves 54700 non-facility payment from $182.26 to $253.94 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 54700?
3.38. 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 54700 in 2026?
About $200.07 non-facility ($200.07 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 (3.38) and malpractice RVU stay fixed; only practice expense changes (2.13 office vs 2.13 facility). That is the entire office-vs-facility payment gap.