CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 97802 RVU and Medicare Payment (2026)
Medical nutrition indiv in — 0.53 work RVU, about $36.74 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 0.53
- PE RVU (non-facility)
- 0.56
- PE RVU (facility)
- 0.25
- MP RVU
- 0.01
- Office payment
- $36.74
- Facility payment
- $26.39
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 97802 in a non-facility setting with national GPCI: (0.53 + 0.56 + 0.01) × $33.4009 ≈ $36.74. The same code in a facility setting pays about $26.39 because facility PE RVU (0.25) replaces office PE RVU.
What changes by locality
GPCI moves 97802 non-facility payment from $33.94 to $46.8 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 97802?
0.53. 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 97802 in 2026?
About $36.74 non-facility ($26.39 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 (0.53) and malpractice RVU stay fixed; only practice expense changes (0.56 office vs 0.25 facility). That is the entire office-vs-facility payment gap.