CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT G0079 RVU and Medicare Payment (2026)
Care manag h vst new pt 60 m — 3.38 work RVU, about $163.66 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 3.38
- PE RVU (non-facility)
- 1.36
- PE RVU (facility)
- 1.36
- MP RVU
- 0.16
- Office payment
- $163.66
- Facility payment
- $163.66
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 G0079 in a non-facility setting with national GPCI: (3.38 + 1.36 + 0.16) × $33.4009 ≈ $163.66. The same code in a facility setting pays about $163.66 because facility PE RVU (1.36) replaces office PE RVU.
What changes by locality
GPCI moves G0079 non-facility payment from $154.67 to $220.67 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 G0079?
3.38. 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 G0079 in 2026?
About $163.66 non-facility ($163.66 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 (3.38) and malpractice RVU stay fixed; only practice expense changes (1.36 office vs 1.36 facility). That is the entire office-vs-facility payment gap.