CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 64818 RVU and Medicare Payment (2026)
Sympathectomy lumbar — 11.06 work RVU, about $719.12 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 11.06
- PE RVU (non-facility)
- 8.11
- PE RVU (facility)
- 8.11
- MP RVU
- 2.36
- Office payment
- $719.12
- Facility payment
- $719.12
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 64818 in a non-facility setting with national GPCI: (11.06 + 8.11 + 2.36) × $33.4009 ≈ $719.12. The same code in a facility setting pays about $719.12 because facility PE RVU (8.11) replaces office PE RVU.
What changes by locality
GPCI moves 64818 non-facility payment from $642.7 to $886.04 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 64818?
11.06. 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 64818 in 2026?
About $719.12 non-facility ($719.12 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 (11.06) and malpractice RVU stay fixed; only practice expense changes (8.11 office vs 8.11 facility). That is the entire office-vs-facility payment gap.