CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 64755 RVU and Medicare Payment (2026)
Incision of stomach nerves — 14.67 work RVU, about $870.09 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 14.67
- PE RVU (non-facility)
- 7.46
- PE RVU (facility)
- 7.46
- MP RVU
- 3.92
- Office payment
- $870.09
- Facility payment
- $870.09
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 64755 in a non-facility setting with national GPCI: (14.67 + 7.46 + 3.92) × $33.4009 ≈ $870.09. The same code in a facility setting pays about $870.09 because facility PE RVU (7.46) replaces office PE RVU.
What changes by locality
GPCI moves 64755 non-facility payment from $769.02 to $1,080.5 across CMS localities — from Wisconsin to Miami. 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 64755?
14.67. 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 64755 in 2026?
About $870.09 non-facility ($870.09 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 (14.67) and malpractice RVU stay fixed; only practice expense changes (7.46 office vs 7.46 facility). That is the entire office-vs-facility payment gap.