CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 64656 RVU and Medicare Payment (2026)
Revj/rplcmt bat mod sys pg — 8.01 work RVU, about $427.2 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 8.01
- PE RVU (non-facility)
- 2.8
- PE RVU (facility)
- 2.8
- MP RVU
- 1.98
- Office payment
- $427.2
- Facility payment
- $427.2
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 64656 in a non-facility setting with national GPCI: (8.01 + 2.8 + 1.98) × $33.4009 ≈ $427.2. The same code in a facility setting pays about $427.2 because facility PE RVU (2.8) replaces office PE RVU.
What changes by locality
GPCI moves 64656 non-facility payment from $377.5 to $537.35 across CMS localities — from Wisconsin 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 64656?
8.01. 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 64656 in 2026?
About $427.2 non-facility ($427.2 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 (8.01) and malpractice RVU stay fixed; only practice expense changes (2.8 office vs 2.8 facility). That is the entire office-vs-facility payment gap.