CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 11006 RVU and Medicare Payment (2026)
Dbrdmt skin xtrnl gent per — 12.77 work RVU, about $623.93 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 12.77
- PE RVU (non-facility)
- 3.09
- PE RVU (facility)
- 3.09
- MP RVU
- 2.82
- Office payment
- $623.93
- Facility payment
- $623.93
How the payment is calculated
Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 11006 in a non-facility setting with national GPCI: (12.77 + 3.09 + 2.82) × $33.4009 ≈ $623.93. The same code in a facility setting pays about $623.93 because facility PE RVU (3.09) replaces office PE RVU.
What changes by locality
GPCI moves 11006 non-facility payment from $554.41 to $801.61 across CMS localities — from Wisconsin to Alaska. Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.
Frequently asked questions
What is the 2026 work RVU for CPT 11006?
12.77. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.
How much does Medicare pay for CPT 11006 in 2026?
About $623.93 non-facility ($623.93 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.
Does the work RVU change between office and facility?
No. Work RVU (12.77) and malpractice RVU stay fixed; only practice expense changes (3.09 office vs 3.09 facility). That is the entire office-vs-facility payment gap.