CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 92516 RVU and Medicare Payment (2026)
Facial nerve function test — 0.42 work RVU, about $75.15 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 0.42
- PE RVU (non-facility)
- 1.8
- PE RVU (facility)
- 0.11
- MP RVU
- 0.03
- Office payment
- $75.15
- Facility payment
- $18.7
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 92516 in a non-facility setting with national GPCI: (0.42 + 1.8 + 0.03) × $33.4009 ≈ $75.15. The same code in a facility setting pays about $18.7 because facility PE RVU (0.11) replaces office PE RVU.
What changes by locality
GPCI moves 92516 non-facility payment from $66.19 to $102.8 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 92516?
0.42. 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 92516 in 2026?
About $75.15 non-facility ($18.7 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 (0.42) and malpractice RVU stay fixed; only practice expense changes (1.8 office vs 0.11 facility). That is the entire office-vs-facility payment gap.