CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 88321 RVU and Medicare Payment (2026)
Consltj&reprt sld prep elswr — 1.59 work RVU, about $93.86 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 1.59
- PE RVU (non-facility)
- 1.15
- PE RVU (facility)
- 0.36
- MP RVU
- 0.07
- Office payment
- $93.86
- Facility payment
- $67.47
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 88321 in a non-facility setting with national GPCI: (1.59 + 1.15 + 0.07) × $33.4009 ≈ $93.86. The same code in a facility setting pays about $67.47 because facility PE RVU (0.36) replaces office PE RVU.
What changes by locality
GPCI moves 88321 non-facility payment from $87.31 to $121.86 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 88321?
1.59. 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 88321 in 2026?
About $93.86 non-facility ($67.47 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 (1.59) and malpractice RVU stay fixed; only practice expense changes (1.15 office vs 0.36 facility). That is the entire office-vs-facility payment gap.