CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31

CPT 98979 RVU and Medicare Payment (2026)

Rtm tx mgmt 1st 10 min — 0.31 work RVU, about $26.39 non-facility Medicare payment at the 2026 conversion factor.

Work RVU
0.31
PE RVU (non-facility)
0.47
PE RVU (facility)
0.02
MP RVU
0.01
Office payment
$26.39
Facility payment
$11.36

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 98979 in a non-facility setting with national GPCI: (0.31 + 0.47 + 0.01) × $33.4009 ≈ $26.39. The same code in a facility setting pays about $11.36 because facility PE RVU (0.02) replaces office PE RVU.

What changes by locality

GPCI moves 98979 non-facility payment from $24.01 to $34.31 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 98979?

0.31. 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 98979 in 2026?

About $26.39 non-facility ($11.36 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 (0.31) and malpractice RVU stay fixed; only practice expense changes (0.47 office vs 0.02 facility). That is the entire office-vs-facility payment gap.