CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 95810 RVU and Medicare Payment (2026)
Polysom 6/> yrs 4/> param — 2.44 work RVU, about $673.7 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 2.44
- PE RVU (non-facility)
- 17.47
- PE RVU (facility)
- 17.47
- MP RVU
- 0.26
- Office payment
- $673.7
- Facility payment
- $673.7
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 95810 in a non-facility setting with national GPCI: (2.44 + 17.47 + 0.26) × $33.4009 ≈ $673.7. The same code in a facility setting pays about $673.7 because facility PE RVU (17.47) replaces office PE RVU.
What changes by locality
GPCI moves 95810 non-facility payment from $587.21 to $936.54 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 95810?
2.44. 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 95810 in 2026?
About $673.7 non-facility ($673.7 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 (2.44) and malpractice RVU stay fixed; only practice expense changes (17.47 office vs 17.47 facility). That is the entire office-vs-facility payment gap.