CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 56631 RVU and Medicare Payment (2026)
Vlvctmy rad prtl uni lymphad — 18.52 work RVU, about $1,109.58 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 18.52
- PE RVU (non-facility)
- 10.65
- PE RVU (facility)
- 10.65
- MP RVU
- 4.05
- Office payment
- $1,109.58
- Facility payment
- $1,109.58
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 56631 in a non-facility setting with national GPCI: (18.52 + 10.65 + 4.05) × $33.4009 ≈ $1,109.58. The same code in a facility setting pays about $1,109.58 because facility PE RVU (10.65) replaces office PE RVU.
What changes by locality
GPCI moves 56631 non-facility payment from $993.81 to $1,381.25 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 56631?
18.52. 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 56631 in 2026?
About $1,109.58 non-facility ($1,109.58 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 (18.52) and malpractice RVU stay fixed; only practice expense changes (10.65 office vs 10.65 facility). That is the entire office-vs-facility payment gap.