CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 92990 RVU and Medicare Payment (2026)
Revision of pulmonary valve — 17.81 work RVU, about $965.95 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 17.81
- PE RVU (non-facility)
- 6.85
- PE RVU (facility)
- 6.85
- MP RVU
- 4.26
- Office payment
- $965.95
- Facility payment
- $965.95
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 92990 in a non-facility setting with national GPCI: (17.81 + 6.85 + 4.26) × $33.4009 ≈ $965.95. The same code in a facility setting pays about $965.95 because facility PE RVU (6.85) replaces office PE RVU.
What changes by locality
GPCI moves 92990 non-facility payment from $857.88 to $1,214.37 across CMS localities — from Wisconsin 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 92990?
17.81. 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 92990 in 2026?
About $965.95 non-facility ($965.95 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 (17.81) and malpractice RVU stay fixed; only practice expense changes (6.85 office vs 6.85 facility). That is the entire office-vs-facility payment gap.