CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 57023 RVU and Medicare Payment (2026)
I&d vaginal hematoma non-ob — 5.05 work RVU, about $283.24 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 5.05
- PE RVU (non-facility)
- 2.54
- PE RVU (facility)
- 2.54
- MP RVU
- 0.89
- Office payment
- $283.24
- Facility payment
- $283.24
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 57023 in a non-facility setting with national GPCI: (5.05 + 2.54 + 0.89) × $33.4009 ≈ $283.24. The same code in a facility setting pays about $283.24 because facility PE RVU (2.54) replaces office PE RVU.
What changes by locality
GPCI moves 57023 non-facility payment from $256.86 to $359.74 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 57023?
5.05. 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 57023 in 2026?
About $283.24 non-facility ($283.24 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 (5.05) and malpractice RVU stay fixed; only practice expense changes (2.54 office vs 2.54 facility). That is the entire office-vs-facility payment gap.