CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31

CPT 93451 RVU and Medicare Payment (2026)

Right heart cath — 2.41 work RVU, about $851.39 non-facility Medicare payment at the 2026 conversion factor.

Work RVU
2.41
PE RVU (non-facility)
22.66
PE RVU (facility)
22.66
MP RVU
0.42
Office payment
$851.39
Facility payment
$851.39

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 93451 in a non-facility setting with national GPCI: (2.41 + 22.66 + 0.42) × $33.4009 ≈ $851.39. The same code in a facility setting pays about $851.39 because facility PE RVU (22.66) replaces office PE RVU.

What changes by locality

GPCI moves 93451 non-facility payment from $737.87 to $1,188.27 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 93451?

2.41. 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 93451 in 2026?

About $851.39 non-facility ($851.39 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 (2.41) and malpractice RVU stay fixed; only practice expense changes (22.66 office vs 22.66 facility). That is the entire office-vs-facility payment gap.