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CPT G9157 — Transesoph doppl cardiac mon

CPT code G9157 (Transesoph doppl cardiac mon) carries 2.15 work RVUs under the CMS 2026 Medicare Physician Fee Schedule. Total RVUs are 2.65 in a non-facility setting and 2.65 in a facility setting, which at the 2026 conversion factor of $33.40 works out to $88.51 and $88.51 respectively.

2.15
Work RVU
2.65
Total RVU (non-facility)
$88.51
Medicare, non-facility
$88.51
Medicare, facility
Calculate your total wRVUs →

RVU breakdown for CPT G9157

ComponentRVUsWhat it covers
Work RVU2.15Physician time, skill, effort, and stress.
Practice expense RVU (non-facility)0.32Office overhead, staff, supplies.
Practice expense RVU (facility)0.0Overhead when performed in a hospital.
Malpractice RVU0.18Professional liability cost.
Total RVU (non-facility)2.65Work + non-facility PE + malpractice.
Total RVU (facility)2.65Work + facility PE + malpractice.

How Medicare payment is calculated

Medicare multiplies total RVUs by the annual conversion factor. For CPT G9157 in 2026:

SettingTotal RVUConversion factorNational payment
Non-facility2.65$33.40$88.51
Facility2.65$33.40$88.51

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 G9157

Global period
Global concept does not apply to this code.
Multiple procedure reduction
Multiple-procedure concept does not apply.
Bilateral surgery
Bilateral concept does not apply.
Assistant surgeon
Concept does not apply to this code.
Co-surgeon
Not permitted unless documentation supports medical necessity.
Team surgery
Not permitted unless documentation supports medical necessity.

Questions about CPT G9157

How many work RVUs is CPT G9157?

CPT G9157 is assigned 2.15 work RVUs in the CMS 2026 Medicare Physician Fee Schedule.

What does Medicare pay for CPT G9157?

At the 2026 national conversion factor of $33.40, CPT G9157 pays approximately $88.51 in a non-facility setting and $88.51 in a facility setting before geographic adjustment.

What is the global period for CPT G9157?

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.