CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31

CPT 73225 RVU and Medicare Payment (2026)

Mr angio upr extr w/o&w/dye — 1.69 work RVU, about $323.65 non-facility Medicare payment at the 2026 conversion factor.

Work RVU
1.69
PE RVU (non-facility)
7.85
PE RVU (facility)
7.85
MP RVU
0.15
Office payment
$323.65
Facility payment
$323.65

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 73225 in a non-facility setting with national GPCI: (1.69 + 7.85 + 0.15) × $33.4009 ≈ $323.65. The same code in a facility setting pays about $323.65 because facility PE RVU (7.85) replaces office PE RVU.

What changes by locality

GPCI moves 73225 non-facility payment from $284.26 to $443.43 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 73225?

1.69. 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 73225 in 2026?

About $323.65 non-facility ($323.65 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 (1.69) and malpractice RVU stay fixed; only practice expense changes (7.85 office vs 7.85 facility). That is the entire office-vs-facility payment gap.