RVU Values for CPT Codes in 2026

How Many RVUs Is 99213 or 99214?

Under the 2026 Medicare Physician Fee Schedule, CPT 99213 carries 1.30 work RVUs and 99214 carries 1.92 work RVUs. Add the practice expense and malpractice RVUs, and the office totals are 2.85 RVUs for 99213 and 4.06 RVUs for 99214. In a facility they are 1.72 and 2.53. At the 2026 national conversion factor of $33.4009, that works out to $95.19 and $135.61 in an office, before any local adjustment.

Most people searching for “99214 RVU” want one of these numbers. Which one depends on who is asking. A doctor paid on productivity cares about the work RVU. A practice estimating Medicare income cares about the total RVU for the right setting. Both come from the same CMS file, and you will find both below.

2026 RVU Values for Common CPT Codes

These are the national 2026 values from the CMS relative value file (RVU26D, the October release). “Office” means the non-facility total. “Facility” means the hospital or surgery center total. NA means CMS says the service is rarely or never done in that setting. Click any code to see its price in your own Medicare area.

Three things stand out. Going from 99213 to 99214 adds 0.62 work RVUs, and going from 99214 to 99215 adds 0.88. The office total for a procedure like 11102 is about three times its facility total, because in an office the practice pays for staff, supplies and equipment. And therapy, preventive and test codes like 97110, G0439 and 93000 show NA in the facility column.

What an RVU Actually Measures

An RVU (relative value unit) is how Medicare says what one service is worth compared with all the others. Every paid code has three:

An AMA committee of doctors, called the RUC, surveys clinicians and suggests values. CMS reviews them and sets the final numbers each year in its fee schedule rule. That is why the values can change every January, and sometimes mid-year when CMS corrects its quarterly file.

Work RVUs vs Total RVUs: Which One Do You Need?

There is no public “right” dollar amount per work RVU. Each contract sets its own rate, often using private salary surveys. The RVU itself is public, which is why the same 1.92 for 99214 comes up in every contract talk.

How RVUs Turn Into a Medicare Payment

Medicare adjusts each part for local costs using a Geographic Practice Cost Index (GPCI). Then it adds them up and multiplies by the conversion factor:

Take 99214 in a Manhattan office. The 2026 GPCIs there are 1.064, 1.162 and 1.586. So (1.92 × 1.064) + (2.00 × 1.162) + (0.14 × 1.586) = 4.59 adjusted RVUs. Times $33.4009, that is $153.27, compared with $135.61 nationally. Same code, same RVUs, different money. That is why a national figure is only a starting point. After the Part B deductible, Medicare pays 80% of it, minus the 2% sequestration cut, and the patient owes the other 20%.

Our RVU calculator and 2026 Medicare fee lookup does this math for any code in any of the 109 Medicare areas. It also shows the facility rate, the non-participating amount and the imaging cap.

What Changed for 2026

Two changes in 2026 affect how RVUs turn into money. First, CMS set two conversion factors for the first time: $33.4009 for most clinicians and $33.5675 for Qualifying APM Participants. Second, CMS made a 2.5% “efficiency adjustment”. It lowered work RVUs for most services that are not based on time, such as procedures, imaging and tests. Time-based services like office visits were not cut. So if a procedure’s 2026 work RVU looks a little lower than last year’s, this is usually why.

Where to Find the RVUs for Any Code

Related

CPT 99213 guide, CPT 99214 guide, E/M code level calculator, MPPR calculator for multiple procedures on the same day, and what the allowed amount is.

Frequently Asked Questions