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

CPT 93459 RVU and Medicare Payment (2026)

L hrt art/grft angio — 6.19 work RVU, about $1,087.53 non-facility Medicare payment at the 2026 conversion factor.

Work RVU
6.19
PE RVU (non-facility)
25.08
PE RVU (facility)
25.08
MP RVU
1.29
Office payment
$1,087.53
Facility payment
$1,087.53

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 93459 in a non-facility setting with national GPCI: (6.19 + 25.08 + 1.29) × $33.4009 ≈ $1,087.53. The same code in a facility setting pays about $1,087.53 because facility PE RVU (25.08) replaces office PE RVU.

What changes by locality

GPCI moves 93459 non-facility payment from $948.52 to $1,460.54 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 93459?

6.19. 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 93459 in 2026?

About $1,087.53 non-facility ($1,087.53 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 (6.19) and malpractice RVU stay fixed; only practice expense changes (25.08 office vs 25.08 facility). That is the entire office-vs-facility payment gap.