CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT G0420 RVU and Medicare Payment (2026)
Ed svc ckd ind per session — 2.12 work RVU, about $113.56 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 2.12
- PE RVU (non-facility)
- 1.15
- PE RVU (facility)
- 1.15
- MP RVU
- 0.13
- Office payment
- $113.56
- Facility payment
- $113.56
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 G0420 in a non-facility setting with national GPCI: (2.12 + 1.15 + 0.13) × $33.4009 ≈ $113.56. The same code in a facility setting pays about $113.56 because facility PE RVU (1.15) replaces office PE RVU.
What changes by locality
GPCI moves G0420 non-facility payment from $106.04 to $149.52 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 G0420?
2.12. 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 G0420 in 2026?
About $113.56 non-facility ($113.56 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 (2.12) and malpractice RVU stay fixed; only practice expense changes (1.15 office vs 1.15 facility). That is the entire office-vs-facility payment gap.