CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT G0423 RVU and Medicare Payment (2026)
Intens cardiac rehab no exer — 2.05 work RVU, about $131.6 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 2.05
- PE RVU (non-facility)
- 1.77
- PE RVU (facility)
- 1.77
- MP RVU
- 0.12
- Office payment
- $131.6
- Facility payment
- $131.6
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 G0423 in a non-facility setting with national GPCI: (2.05 + 1.77 + 0.12) × $33.4009 ≈ $131.6. The same code in a facility setting pays about $131.6 because facility PE RVU (1.77) replaces office PE RVU.
What changes by locality
GPCI moves G0423 non-facility payment from $121.32 to $167.88 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 G0423?
2.05. 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 G0423 in 2026?
About $131.6 non-facility ($131.6 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 (2.05) and malpractice RVU stay fixed; only practice expense changes (1.77 office vs 1.77 facility). That is the entire office-vs-facility payment gap.