CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 70492 RVU and Medicare Payment (2026)
Ct sft tsue nck w/o & w/dye — 1.58 work RVU, about $219.78 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 1.58
- PE RVU (non-facility)
- 4.9
- PE RVU (facility)
- 4.9
- MP RVU
- 0.1
- Office payment
- $219.78
- Facility payment
- $219.78
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 70492 in a non-facility setting with national GPCI: (1.58 + 4.9 + 0.1) × $33.4009 ≈ $219.78. The same code in a facility setting pays about $219.78 because facility PE RVU (4.9) replaces office PE RVU.
What changes by locality
GPCI moves 70492 non-facility payment from $195.08 to $296.37 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 70492?
1.58. 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 70492 in 2026?
About $219.78 non-facility ($219.78 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 (1.58) and malpractice RVU stay fixed; only practice expense changes (4.9 office vs 4.9 facility). That is the entire office-vs-facility payment gap.