CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 57423 RVU and Medicare Payment (2026)
Repair paravag defect lap — 15.68 work RVU, about $820.99 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 15.68
- PE RVU (non-facility)
- 6.23
- PE RVU (facility)
- 6.23
- MP RVU
- 2.67
- Office payment
- $820.99
- Facility payment
- $820.99
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 57423 in a non-facility setting with national GPCI: (15.68 + 6.23 + 2.67) × $33.4009 ≈ $820.99. The same code in a facility setting pays about $820.99 because facility PE RVU (6.23) replaces office PE RVU.
What changes by locality
GPCI moves 57423 non-facility payment from $748.4 to $1,056.34 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 57423?
15.68. 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 57423 in 2026?
About $820.99 non-facility ($820.99 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 (15.68) and malpractice RVU stay fixed; only practice expense changes (6.23 office vs 6.23 facility). That is the entire office-vs-facility payment gap.