CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 64575 RVU and Medicare Payment (2026)
Opn impltj nea perph nerve — 4.31 work RVU, about $293.59 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 4.31
- PE RVU (non-facility)
- 3.79
- PE RVU (facility)
- 3.79
- MP RVU
- 0.69
- Office payment
- $293.59
- Facility payment
- $293.59
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 64575 in a non-facility setting with national GPCI: (4.31 + 3.79 + 0.69) × $33.4009 ≈ $293.59. The same code in a facility setting pays about $293.59 because facility PE RVU (3.79) replaces office PE RVU.
What changes by locality
GPCI moves 64575 non-facility payment from $264.57 to $363.45 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 64575?
4.31. 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 64575 in 2026?
About $293.59 non-facility ($293.59 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 (4.31) and malpractice RVU stay fixed; only practice expense changes (3.79 office vs 3.79 facility). That is the entire office-vs-facility payment gap.