CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 92998 RVU and Medicare Payment (2026)
Pul art balloon repr percut — 5.84 work RVU, about $274.89 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 5.84
- PE RVU (non-facility)
- 1.08
- PE RVU (facility)
- 1.08
- MP RVU
- 1.31
- Office payment
- $274.89
- Facility payment
- $274.89
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 92998 in a non-facility setting with national GPCI: (5.84 + 1.08 + 1.31) × $33.4009 ≈ $274.89. The same code in a facility setting pays about $274.89 because facility PE RVU (1.08) replaces office PE RVU.
What changes by locality
GPCI moves 92998 non-facility payment from $243.1 to $355.12 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 92998?
5.84. 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 92998 in 2026?
About $274.89 non-facility ($274.89 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 (5.84) and malpractice RVU stay fixed; only practice expense changes (1.08 office vs 1.08 facility). That is the entire office-vs-facility payment gap.