CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 55710 RVU and Medicare Payment (2026)
Bx prst8 tprn us w/mri fus 1 — 3.81 work RVU, about $652.32 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 3.81
- PE RVU (non-facility)
- 15.24
- PE RVU (facility)
- 1.35
- MP RVU
- 0.48
- Office payment
- $652.32
- Facility payment
- $188.38
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 55710 in a non-facility setting with national GPCI: (3.81 + 15.24 + 0.48) × $33.4009 ≈ $652.32. The same code in a facility setting pays about $188.38 because facility PE RVU (1.35) replaces office PE RVU.
What changes by locality
GPCI moves 55710 non-facility payment from $572.77 to $883.87 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 55710?
3.81. 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 55710 in 2026?
About $652.32 non-facility ($188.38 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 (3.81) and malpractice RVU stay fixed; only practice expense changes (15.24 office vs 1.35 facility). That is the entire office-vs-facility payment gap.