CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT G2086 RVU and Medicare Payment (2026)
Off base opioid tx 70min — 8.36 work RVU, about $491.33 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 8.36
- PE RVU (non-facility)
- 5.73
- PE RVU (facility)
- 1.88
- MP RVU
- 0.62
- Office payment
- $491.33
- Facility payment
- $362.73
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 G2086 in a non-facility setting with national GPCI: (8.36 + 5.73 + 0.62) × $33.4009 ≈ $491.33. The same code in a facility setting pays about $362.73 because facility PE RVU (1.88) replaces office PE RVU.
What changes by locality
GPCI moves G2086 non-facility payment from $454.3 to $634.09 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 G2086?
8.36. 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 G2086 in 2026?
About $491.33 non-facility ($362.73 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 (8.36) and malpractice RVU stay fixed; only practice expense changes (5.73 office vs 1.88 facility). That is the entire office-vs-facility payment gap.