CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT G0085 RVU and Medicare Payment (2026)
Care man h v ext pt 75 m — 4.09 work RVU, about $217.11 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 4.09
- PE RVU (non-facility)
- 2.16
- PE RVU (facility)
- 2.16
- MP RVU
- 0.25
- Office payment
- $217.11
- Facility payment
- $217.11
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 G0085 in a non-facility setting with national GPCI: (4.09 + 2.16 + 0.25) × $33.4009 ≈ $217.11. The same code in a facility setting pays about $217.11 because facility PE RVU (2.16) replaces office PE RVU.
What changes by locality
GPCI moves G0085 non-facility payment from $202.88 to $286.35 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 G0085?
4.09. 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 G0085 in 2026?
About $217.11 non-facility ($217.11 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 (4.09) and malpractice RVU stay fixed; only practice expense changes (2.16 office vs 2.16 facility). That is the entire office-vs-facility payment gap.