CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 93455 RVU and Medicare Payment (2026)
Coronary art/grft angio s&i — 5.16 work RVU, about $979.31 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 5.16
- PE RVU (non-facility)
- 23.08
- PE RVU (facility)
- 23.08
- MP RVU
- 1.08
- Office payment
- $979.31
- Facility payment
- $979.31
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 93455 in a non-facility setting with national GPCI: (5.16 + 23.08 + 1.08) × $33.4009 ≈ $979.31. The same code in a facility setting pays about $979.31 because facility PE RVU (23.08) replaces office PE RVU.
What changes by locality
GPCI moves 93455 non-facility payment from $853.12 to $1,322.27 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 93455?
5.16. 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 93455 in 2026?
About $979.31 non-facility ($979.31 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 (5.16) and malpractice RVU stay fixed; only practice expense changes (23.08 office vs 23.08 facility). That is the entire office-vs-facility payment gap.