CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 64484 RVU and Medicare Payment (2026)
Njx aa&/strd tfrm epi l/s ea — 0.98 work RVU, about $117.57 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 0.98
- PE RVU (non-facility)
- 2.46
- PE RVU (facility)
- 0.25
- MP RVU
- 0.08
- Office payment
- $117.57
- Facility payment
- $43.76
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 64484 in a non-facility setting with national GPCI: (0.98 + 2.46 + 0.08) × $33.4009 ≈ $117.57. The same code in a facility setting pays about $43.76 because facility PE RVU (0.25) replaces office PE RVU.
What changes by locality
GPCI moves 64484 non-facility payment from $104.69 to $156.25 across CMS localities — from Arkansas to San Jose-sunnyvale-santa Clara (san Benito Cnty). 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 64484?
0.98. 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 64484 in 2026?
About $117.57 non-facility ($43.76 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 (0.98) and malpractice RVU stay fixed; only practice expense changes (2.46 office vs 0.25 facility). That is the entire office-vs-facility payment gap.