CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 90956 RVU and Medicare Payment (2026)
Esrd srv 1 visit p mo 2-11 — 6.64 work RVU, about $366.74 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 6.64
- PE RVU (non-facility)
- 3.93
- PE RVU (facility)
- 3.93
- MP RVU
- 0.41
- Office payment
- $366.74
- Facility payment
- $366.74
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 90956 in a non-facility setting with national GPCI: (6.64 + 3.93 + 0.41) × $33.4009 ≈ $366.74. The same code in a facility setting pays about $366.74 because facility PE RVU (3.93) replaces office PE RVU.
What changes by locality
GPCI moves 90956 non-facility payment from $341.59 to $480.02 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 90956?
6.64. 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 90956 in 2026?
About $366.74 non-facility ($366.74 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 (6.64) and malpractice RVU stay fixed; only practice expense changes (3.93 office vs 3.93 facility). That is the entire office-vs-facility payment gap.