CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 90962 RVU and Medicare Payment (2026)
Esrd serv 1 visit p mo 20+ — 3.57 work RVU, about $215.1 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 3.57
- PE RVU (non-facility)
- 2.65
- PE RVU (facility)
- 2.65
- MP RVU
- 0.22
- Office payment
- $215.1
- Facility payment
- $215.1
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 90962 in a non-facility setting with national GPCI: (3.57 + 2.65 + 0.22) × $33.4009 ≈ $215.1. The same code in a facility setting pays about $215.1 because facility PE RVU (2.65) replaces office PE RVU.
What changes by locality
GPCI moves 90962 non-facility payment from $199.06 to $277.18 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 90962?
3.57. 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 90962 in 2026?
About $215.1 non-facility ($215.1 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 (3.57) and malpractice RVU stay fixed; only practice expense changes (2.65 office vs 2.65 facility). That is the entire office-vs-facility payment gap.