CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 56640 RVU and Medicare Payment (2026)
Vlvctmy rad comp w/lymphadec — 24.16 work RVU, about $1,432.23 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 24.16
- PE RVU (non-facility)
- 13.13
- PE RVU (facility)
- 13.13
- MP RVU
- 5.59
- Office payment
- $1,432.23
- Facility payment
- $1,432.23
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 56640 in a non-facility setting with national GPCI: (24.16 + 13.13 + 5.59) × $33.4009 ≈ $1,432.23. The same code in a facility setting pays about $1,432.23 because facility PE RVU (13.13) replaces office PE RVU.
What changes by locality
GPCI moves 56640 non-facility payment from $1,279.84 to $1,780.39 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 56640?
24.16. 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 56640 in 2026?
About $1,432.23 non-facility ($1,432.23 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 (24.16) and malpractice RVU stay fixed; only practice expense changes (13.13 office vs 13.13 facility). That is the entire office-vs-facility payment gap.