CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 86079 RVU and Medicare Payment (2026)
Phys blood bank serv authrj — 0.92 work RVU, about $51.1 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 0.92
- PE RVU (non-facility)
- 0.56
- PE RVU (facility)
- 0.21
- MP RVU
- 0.05
- Office payment
- $51.1
- Facility payment
- $39.41
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 86079 in a non-facility setting with national GPCI: (0.92 + 0.56 + 0.05) × $33.4009 ≈ $51.1. The same code in a facility setting pays about $39.41 because facility PE RVU (0.21) replaces office PE RVU.
What changes by locality
GPCI moves 86079 non-facility payment from $47.66 to $66.93 across CMS localities — from Arkansas to Alaska. 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 86079?
0.92. 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 86079 in 2026?
About $51.1 non-facility ($39.41 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 (0.92) and malpractice RVU stay fixed; only practice expense changes (0.56 office vs 0.21 facility). That is the entire office-vs-facility payment gap.