CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 64912 RVU and Medicare Payment (2026)
Nrv rpr w/nrv algrft 1st — 11.7 work RVU, about $818.99 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 11.7
- PE RVU (non-facility)
- 10.56
- PE RVU (facility)
- 10.56
- MP RVU
- 2.26
- Office payment
- $818.99
- Facility payment
- $818.99
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 64912 in a non-facility setting with national GPCI: (11.7 + 10.56 + 2.26) × $33.4009 ≈ $818.99. The same code in a facility setting pays about $818.99 because facility PE RVU (10.56) replaces office PE RVU.
What changes by locality
GPCI moves 64912 non-facility payment from $732.65 to $1,003.42 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 64912?
11.7. 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 64912 in 2026?
About $818.99 non-facility ($818.99 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 (11.7) and malpractice RVU stay fixed; only practice expense changes (10.56 office vs 10.56 facility). That is the entire office-vs-facility payment gap.