CY 2026 · Primary Care + Cardiology · 300+ Codes Built-In

Quick Reimbursement Calculator

Medicare Physician Fee Schedule (PFS) · Primary Care, Family Medicine & Cardiology · CMS RVU26A data

⚠ Disclaimer: Estimates are NOT guarantees of payment. Actual reimbursement depends on patient coverage, deductibles, claim adjudication, medical necessity, and payer policies. CPT codes © American Medical Association — enter codes manually. For estimation purposes only.

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Enter manually — CPT codes © AMA. Verify at CMS ↗
Determines which PE RVU applies — facility rates are typically lower.
New CY 2026: two separate conversion factors. Most providers are Non-QP.

Code not found in the built-in database or CMS live API. Enter RVU values manually from the CMS PFS Look-Up Tool ↗

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⚠ Estimates only. This tool uses CMS Physician Fee Schedule CY 2026 data (RVU26A). Actual reimbursement depends on patient coverage, deductible/coinsurance, claim adjudication, bundling, medical necessity, prior authorization, coordination of benefits, and payer-specific contract terms. Not a guarantee of payment. Verify with applicable payer and MAC.

CPT copyright © American Medical Association. All rights reserved. HCPCS Level II codes are in the public domain (CMS).

Data: CMS RVU26A (CY 2026) · CMS PFS Look-Up Tool · Built-in: 300+ primary care, family medicine & cardiology codes from CMS RVU26A public file.