CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 92972 RVU and Medicare Payment (2026)
Perq trluml coronry lithotrp — 2.9 work RVU, about $122.25 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 2.9
- PE RVU (non-facility)
- 0.55
- PE RVU (facility)
- 0.55
- MP RVU
- 0.21
- Office payment
- $122.25
- Facility payment
- $122.25
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 92972 in a non-facility setting with national GPCI: (2.9 + 0.55 + 0.21) × $33.4009 ≈ $122.25. The same code in a facility setting pays about $122.25 because facility PE RVU (0.55) replaces office PE RVU.
What changes by locality
GPCI moves 92972 non-facility payment from $116.26 to $168.72 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 92972?
2.9. 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 92972 in 2026?
About $122.25 non-facility ($122.25 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 (2.9) and malpractice RVU stay fixed; only practice expense changes (0.55 office vs 0.55 facility). That is the entire office-vs-facility payment gap.