CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 78016 RVU and Medicare Payment (2026)
Thyroid met imaging/studies — 0.8 work RVU, about $251.51 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 0.8
- PE RVU (non-facility)
- 6.66
- PE RVU (facility)
- 6.66
- MP RVU
- 0.07
- Office payment
- $251.51
- Facility payment
- $251.51
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 78016 in a non-facility setting with national GPCI: (0.8 + 6.66 + 0.07) × $33.4009 ≈ $251.51. The same code in a facility setting pays about $251.51 because facility PE RVU (6.66) replaces office PE RVU.
What changes by locality
GPCI moves 78016 non-facility payment from $219.01 to $351.69 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 78016?
0.8. 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 78016 in 2026?
About $251.51 non-facility ($251.51 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 (0.8) and malpractice RVU stay fixed; only practice expense changes (6.66 office vs 6.66 facility). That is the entire office-vs-facility payment gap.