CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 66174 RVU and Medicare Payment (2026)
Trluml dil aq o/f can w/o st — 7.43 work RVU, about $540.43 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 7.43
- PE RVU (non-facility)
- 8.17
- PE RVU (facility)
- 8.17
- MP RVU
- 0.58
- Office payment
- $540.43
- Facility payment
- $540.43
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 66174 in a non-facility setting with national GPCI: (7.43 + 8.17 + 0.58) × $33.4009 ≈ $540.43. The same code in a facility setting pays about $540.43 because facility PE RVU (8.17) replaces office PE RVU.
What changes by locality
GPCI moves 66174 non-facility payment from $492.55 to $679.35 across CMS localities — from Arkansas to San Jose-sunnyvale-santa Clara (san Benito Cnty). 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 66174?
7.43. 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 66174 in 2026?
About $540.43 non-facility ($540.43 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 (7.43) and malpractice RVU stay fixed; only practice expense changes (8.17 office vs 8.17 facility). That is the entire office-vs-facility payment gap.