CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 97606 RVU and Medicare Payment (2026)
Neg prs wnd ther dme>50 sqcm — 0.59 work RVU, about $50.44 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 0.59
- PE RVU (non-facility)
- 0.91
- PE RVU (facility)
- 0.09
- MP RVU
- 0.01
- Office payment
- $50.44
- Facility payment
- $23.05
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 97606 in a non-facility setting with national GPCI: (0.59 + 0.91 + 0.01) × $33.4009 ≈ $50.44. The same code in a facility setting pays about $23.05 because facility PE RVU (0.09) replaces office PE RVU.
What changes by locality
GPCI moves 97606 non-facility payment from $45.99 to $65.88 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 97606?
0.59. 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 97606 in 2026?
About $50.44 non-facility ($23.05 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 (0.59) and malpractice RVU stay fixed; only practice expense changes (0.91 office vs 0.09 facility). That is the entire office-vs-facility payment gap.