CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 77285 RVU and Medicare Payment (2026)
Ther rad simulaj field intrm — 1.02 work RVU, about $452.92 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 1.02
- PE RVU (non-facility)
- 12.48
- PE RVU (facility)
- 12.48
- MP RVU
- 0.06
- Office payment
- $452.92
- Facility payment
- $452.92
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 77285 in a non-facility setting with national GPCI: (1.02 + 12.48 + 0.06) × $33.4009 ≈ $452.92. The same code in a facility setting pays about $452.92 because facility PE RVU (12.48) replaces office PE RVU.
What changes by locality
GPCI moves 77285 non-facility payment from $393.17 to $639.98 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 77285?
1.02. 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 77285 in 2026?
About $452.92 non-facility ($452.92 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 (1.02) and malpractice RVU stay fixed; only practice expense changes (12.48 office vs 12.48 facility). That is the entire office-vs-facility payment gap.