CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT G0402 RVU and Medicare Payment (2026)
Initial preventive exam — 2.6 work RVU, about $174.69 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 2.6
- PE RVU (non-facility)
- 2.46
- PE RVU (facility)
- 0.65
- MP RVU
- 0.17
- Office payment
- $174.69
- Facility payment
- $114.23
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 G0402 in a non-facility setting with national GPCI: (2.6 + 2.46 + 0.17) × $33.4009 ≈ $174.69. The same code in a facility setting pays about $114.23 because facility PE RVU (0.65) replaces office PE RVU.
What changes by locality
GPCI moves G0402 non-facility payment from $160.35 to $220.9 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 G0402?
2.6. 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 G0402 in 2026?
About $174.69 non-facility ($114.23 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 (2.6) and malpractice RVU stay fixed; only practice expense changes (2.46 office vs 0.65 facility). That is the entire office-vs-facility payment gap.