CPT 78452 RVU 2026 — Work RVU, Total RVU & Medicare Payment

1.58

Work RVU

12.81

Total RVU (non-facility)

$427.87

Medicare, non-facility

$427.87

Medicare, facility

Calculate your total wRVUs →

RVU breakdown for CPT 78452

Component	RVUs	What it covers
Work RVU	1.58	Physician time, skill, effort, and stress.
Practice expense RVU (non-facility)	11.1	Office overhead, staff, supplies.
Practice expense RVU (facility)	11.1	Overhead when performed in a hospital.
Malpractice RVU	0.0	Professional liability cost.
Total RVU (non-facility)	12.81	Work + non-facility PE + malpractice.
Total RVU (facility)	12.81	Work + facility PE + malpractice.

Professional and technical components

CPT 78452 can be split into professional (modifier 26) and technical (modifier TC) components.

Component	Work RVU	Total RVU (non-fac)	Total RVU (fac)
Modifier 26	1.58	2.23	2.23
Modifier TC	0.0	10.58	10.58

How Medicare payment is calculated

Medicare multiplies total RVUs by the annual conversion factor. For CPT 78452 in 2026:

Setting	Total RVU	Conversion factor	National payment
Non-facility	12.81	$33.40	$427.87
Facility	12.81	$33.40	$427.87

These are national amounts. Actual payment is adjusted by the Geographic Practice Cost Index for your locality — check yours with the GPCI lookup.

Billing rules for CPT 78452

Global period: Global concept does not apply to this code.
Multiple procedure reduction: Subject to the diagnostic cardiovascular multiple-procedure reduction.
Bilateral surgery: Bilateral adjustment does not apply.
Assistant surgeon: Not permitted unless documentation supports medical necessity.
Co-surgeon: Not permitted unless documentation supports medical necessity.
Team surgery: Not permitted unless documentation supports medical necessity.

Related codes

Codes in the same CMS family, with their work RVU values.

78473 · 1.43 wRVU

Questions about CPT 78452

How many work RVUs is CPT 78452?

CPT 78452 is assigned 1.58 work RVUs in the CMS 2026 Medicare Physician Fee Schedule.

What does Medicare pay for CPT 78452?

At the 2026 national conversion factor of $33.40, CPT 78452 pays approximately $427.87 in a non-facility setting and $427.87 in a facility setting before geographic adjustment.

What is the global period for CPT 78452?

Global concept does not apply to this code.

RVU values reflect the CMS 2026 Medicare Physician Fee Schedule (conversion factor $33.40). Payment figures are national and unadjusted for geography. Verify against the official fee schedule before using for billing.