CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 25606 RVU and Medicare Payment (2026)
Perq skel fixj dstl rdl fx — 8.1 work RVU, about $641.63 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 8.1
- PE RVU (non-facility)
- 9.42
- PE RVU (facility)
- 9.42
- MP RVU
- 1.69
- Office payment
- $641.63
- Facility payment
- $641.63
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 25606 in a non-facility setting with national GPCI: (8.1 + 9.42 + 1.69) × $33.4009 ≈ $641.63. The same code in a facility setting pays about $641.63 because facility PE RVU (9.42) replaces office PE RVU.
What changes by locality
GPCI moves 25606 non-facility payment from $569.89 to $784.27 across CMS localities — from Arkansas to San Jose-sunnyvale-santa Clara (san Benito Cnty). 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 25606?
8.1. 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 25606 in 2026?
About $641.63 non-facility ($641.63 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 (8.1) and malpractice RVU stay fixed; only practice expense changes (9.42 office vs 9.42 facility). That is the entire office-vs-facility payment gap.