CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 95977 RVU and Medicare Payment (2026)
Alys cplx cn npgt prgrmg — 0.95 work RVU, about $50.77 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 0.95
- PE RVU (non-facility)
- 0.49
- PE RVU (facility)
- 0.24
- MP RVU
- 0.08
- Office payment
- $50.77
- Facility payment
- $42.42
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 95977 in a non-facility setting with national GPCI: (0.95 + 0.49 + 0.08) × $33.4009 ≈ $50.77. The same code in a facility setting pays about $42.42 because facility PE RVU (0.24) replaces office PE RVU.
What changes by locality
GPCI moves 95977 non-facility payment from $47.17 to $66.5 across CMS localities — from Arkansas 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 95977?
0.95. 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 95977 in 2026?
About $50.77 non-facility ($42.42 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 (0.95) and malpractice RVU stay fixed; only practice expense changes (0.49 office vs 0.24 facility). That is the entire office-vs-facility payment gap.