CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 57295 RVU and Medicare Payment (2026)
Revise vag graft via vagina — 7.62 work RVU, about $448.57 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 7.62
- PE RVU (non-facility)
- 4.57
- PE RVU (facility)
- 4.57
- MP RVU
- 1.24
- Office payment
- $448.57
- Facility payment
- $448.57
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 57295 in a non-facility setting with national GPCI: (7.62 + 4.57 + 1.24) × $33.4009 ≈ $448.57. The same code in a facility setting pays about $448.57 because facility PE RVU (4.57) replaces office PE RVU.
What changes by locality
GPCI moves 57295 non-facility payment from $406.96 to $567.16 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 57295?
7.62. 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 57295 in 2026?
About $448.57 non-facility ($448.57 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 (7.62) and malpractice RVU stay fixed; only practice expense changes (4.57 office vs 4.57 facility). That is the entire office-vs-facility payment gap.