CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT G0342 RVU and Medicare Payment (2026)
Laparoscopy islet cell trans — 11.62 work RVU, about $718.45 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 11.62
- PE RVU (non-facility)
- 6.79
- PE RVU (facility)
- 6.79
- MP RVU
- 3.1
- Office payment
- $718.45
- Facility payment
- $718.45
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 G0342 in a non-facility setting with national GPCI: (11.62 + 6.79 + 3.1) × $33.4009 ≈ $718.45. The same code in a facility setting pays about $718.45 because facility PE RVU (6.79) replaces office PE RVU.
What changes by locality
GPCI moves G0342 non-facility payment from $636.26 to $886.07 across CMS localities — from Arkansas to Miami. 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 G0342?
11.62. 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 G0342 in 2026?
About $718.45 non-facility ($718.45 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 (11.62) and malpractice RVU stay fixed; only practice expense changes (6.79 office vs 6.79 facility). That is the entire office-vs-facility payment gap.