CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 64746 RVU and Medicare Payment (2026)
Incise diaphragm nerve — 6.4 work RVU, about $433.88 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 6.4
- PE RVU (non-facility)
- 4.97
- PE RVU (facility)
- 4.97
- MP RVU
- 1.62
- Office payment
- $433.88
- Facility payment
- $433.88
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 64746 in a non-facility setting with national GPCI: (6.4 + 4.97 + 1.62) × $33.4009 ≈ $433.88. The same code in a facility setting pays about $433.88 because facility PE RVU (4.97) replaces office PE RVU.
What changes by locality
GPCI moves 64746 non-facility payment from $384.23 to $527.26 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 64746?
6.4. 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 64746 in 2026?
About $433.88 non-facility ($433.88 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 (6.4) and malpractice RVU stay fixed; only practice expense changes (4.97 office vs 4.97 facility). That is the entire office-vs-facility payment gap.