CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 78801 RVU and Medicare Payment (2026)
Rp loclzj tum 2+area 1+d img — 0.71 work RVU, about $240.15 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 0.71
- PE RVU (non-facility)
- 6.4
- PE RVU (facility)
- 6.4
- MP RVU
- 0.08
- Office payment
- $240.15
- Facility payment
- $240.15
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 78801 in a non-facility setting with national GPCI: (0.71 + 6.4 + 0.08) × $33.4009 ≈ $240.15. The same code in a facility setting pays about $240.15 because facility PE RVU (6.4) replaces office PE RVU.
What changes by locality
GPCI moves 78801 non-facility payment from $208.72 to $336.01 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 78801?
0.71. 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 78801 in 2026?
About $240.15 non-facility ($240.15 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 (0.71) and malpractice RVU stay fixed; only practice expense changes (6.4 office vs 6.4 facility). That is the entire office-vs-facility payment gap.