CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 93656 RVU and Medicare Payment (2026)
Compre ep eval abltj atr fib — 16.58 work RVU, about $806.63 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 16.58
- PE RVU (non-facility)
- 3.66
- PE RVU (facility)
- 3.66
- MP RVU
- 3.91
- Office payment
- $806.63
- Facility payment
- $806.63
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 93656 in a non-facility setting with national GPCI: (16.58 + 3.66 + 3.91) × $33.4009 ≈ $806.63. The same code in a facility setting pays about $806.63 because facility PE RVU (3.66) replaces office PE RVU.
What changes by locality
GPCI moves 93656 non-facility payment from $711.12 to $1,032.83 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 93656?
16.58. 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 93656 in 2026?
About $806.63 non-facility ($806.63 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 (16.58) and malpractice RVU stay fixed; only practice expense changes (3.66 office vs 3.66 facility). That is the entire office-vs-facility payment gap.