CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 99347 RVU and Medicare Payment (2026)
Home/res vst est sf mdm 20 — 0.9 work RVU, about $46.09 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 0.9
- PE RVU (non-facility)
- 0.44
- PE RVU (facility)
- 0.44
- MP RVU
- 0.04
- Office payment
- $46.09
- Facility payment
- $46.09
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 99347 in a non-facility setting with national GPCI: (0.9 + 0.44 + 0.04) × $33.4009 ≈ $46.09. The same code in a facility setting pays about $46.09 because facility PE RVU (0.44) replaces office PE RVU.
What changes by locality
GPCI moves 99347 non-facility payment from $43.37 to $61.48 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 99347?
0.9. 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 99347 in 2026?
About $46.09 non-facility ($46.09 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 (0.9) and malpractice RVU stay fixed; only practice expense changes (0.44 office vs 0.44 facility). That is the entire office-vs-facility payment gap.