CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 93565 RVU and Medicare Payment (2026)
Njx car cth slctv lv/la ang — 0.49 work RVU, about $26.39 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 0.49
- PE RVU (non-facility)
- 0.18
- PE RVU (facility)
- 0.09
- MP RVU
- 0.12
- Office payment
- $26.39
- Facility payment
- $23.38
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 93565 in a non-facility setting with national GPCI: (0.49 + 0.18 + 0.12) × $33.4009 ≈ $26.39. The same code in a facility setting pays about $23.38 because facility PE RVU (0.09) replaces office PE RVU.
What changes by locality
GPCI moves 93565 non-facility payment from $23.36 to $33.16 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 93565?
0.49. 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 93565 in 2026?
About $26.39 non-facility ($23.38 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 (0.49) and malpractice RVU stay fixed; only practice expense changes (0.18 office vs 0.09 facility). That is the entire office-vs-facility payment gap.