CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 92930 RVU and Medicare Payment (2026)
Prq tcat plmt ntrac st 2+les — 12 work RVU, about $505.36 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 12
- PE RVU (non-facility)
- 2.27
- PE RVU (facility)
- 2.27
- MP RVU
- 0.86
- Office payment
- $505.36
- Facility payment
- $505.36
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 92930 in a non-facility setting with national GPCI: (12 + 2.27 + 0.86) × $33.4009 ≈ $505.36. The same code in a facility setting pays about $505.36 because facility PE RVU (2.27) replaces office PE RVU.
What changes by locality
GPCI moves 92930 non-facility payment from $480.73 to $697.79 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 92930?
12. 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 92930 in 2026?
About $505.36 non-facility ($505.36 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 (12) and malpractice RVU stay fixed; only practice expense changes (2.27 office vs 2.27 facility). That is the entire office-vs-facility payment gap.