CPT code 965232026 Medicare rate & RVUs in Nevada

CPT 96523 pays $26.02 in the office in Nevada under the 2026 Medicare fee schedule, in line with the national rate. Locality math, rate history and payer benchmarks.

CMS RVU26DEffective Oct 1, 20261 payment locality105.9K Medicare services in 2024

Medicare pays $26.02 for 96523 in the office in Nevada (Nevada**). Which amount applies depends on the service address.

$26.02Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 96523 for the payment locality that covers the ZIP.

On this page 5 sections
  1. Rate in Nevada
  2. By payment locality
  3. How it’s calculated
  4. Payment rules
  5. Sources

96523 in Nevada**

96523 office and facility rates by payment locality
Payment localityOfficeFacility
Nevada**$26.02Unavailable

How the 96523 rate is calculated

Each of 96523’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 96523

RVUs × geographic indexes × conversion factor

Work0.04

0.04 RVUs× 1.000 GPCI

Practice expense0.73

0.73 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.7800

Conversion factor

$33.4009

Medicare rate

$26.05

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 96523

The CMS indicators that decide how 96523 is paid alongside other services.

CMS payment indicators · 96523

Code 96523

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical5Incident-to service.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 96523PPRRVU2026_Oct_nonQPP.csv, line 12,814 (RVU26D)
Geographic factors for Nevada**GPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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