CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 64913 RVU and Medicare Payment (2026)
Nrv rpr w/nrv algrft ea addl — 2.93 work RVU, about $146.63 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 2.93
- PE RVU (non-facility)
- 0.92
- PE RVU (facility)
- 0.92
- MP RVU
- 0.54
- Office payment
- $146.63
- Facility payment
- $146.63
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 64913 in a non-facility setting with national GPCI: (2.93 + 0.92 + 0.54) × $33.4009 ≈ $146.63. The same code in a facility setting pays about $146.63 because facility PE RVU (0.92) replaces office PE RVU.
What changes by locality
GPCI moves 64913 non-facility payment from $132.86 to $189.46 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 64913?
2.93. 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 64913 in 2026?
About $146.63 non-facility ($146.63 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 (2.93) and malpractice RVU stay fixed; only practice expense changes (0.92 office vs 0.92 facility). That is the entire office-vs-facility payment gap.