CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 25670 RVU and Medicare Payment (2026)
Optx rdcrpl/ntrcrpl dislc 1+ — 7.89 work RVU, about $580.17 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 7.89
- PE RVU (non-facility)
- 7.8
- PE RVU (facility)
- 7.8
- MP RVU
- 1.68
- Office payment
- $580.17
- Facility payment
- $580.17
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 25670 in a non-facility setting with national GPCI: (7.89 + 7.8 + 1.68) × $33.4009 ≈ $580.17. The same code in a facility setting pays about $580.17 because facility PE RVU (7.8) replaces office PE RVU.
What changes by locality
GPCI moves 25670 non-facility payment from $516.22 to $703.68 across CMS localities — from Arkansas 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 25670?
7.89. 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 25670 in 2026?
About $580.17 non-facility ($580.17 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 (7.89) and malpractice RVU stay fixed; only practice expense changes (7.8 office vs 7.8 facility). That is the entire office-vs-facility payment gap.