CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 95886 RVU and Medicare Payment (2026)
Musc test done w/n test comp — 0.84 work RVU, about $99.87 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 0.84
- PE RVU (non-facility)
- 2.12
- PE RVU (facility)
- 2.12
- MP RVU
- 0.03
- Office payment
- $99.87
- Facility payment
- $99.87
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 95886 in a non-facility setting with national GPCI: (0.84 + 2.12 + 0.03) × $33.4009 ≈ $99.87. The same code in a facility setting pays about $99.87 because facility PE RVU (2.12) replaces office PE RVU.
What changes by locality
GPCI moves 95886 non-facility payment from $89.4 to $133.79 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 95886?
0.84. 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 95886 in 2026?
About $99.87 non-facility ($99.87 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 (0.84) and malpractice RVU stay fixed; only practice expense changes (2.12 office vs 2.12 facility). That is the entire office-vs-facility payment gap.