CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 25680 RVU and Medicare Payment (2026)
Cltx trns-scphprlnr fx mnpj — 6.07 work RVU, about $519.05 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 6.07
- PE RVU (non-facility)
- 8.17
- PE RVU (facility)
- 8.17
- MP RVU
- 1.3
- Office payment
- $519.05
- Facility payment
- $519.05
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 25680 in a non-facility setting with national GPCI: (6.07 + 8.17 + 1.3) × $33.4009 ≈ $519.05. The same code in a facility setting pays about $519.05 because facility PE RVU (8.17) replaces office PE RVU.
What changes by locality
GPCI moves 25680 non-facility payment from $459.51 to $641.82 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 25680?
6.07. 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 25680 in 2026?
About $519.05 non-facility ($519.05 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 (6.07) and malpractice RVU stay fixed; only practice expense changes (8.17 office vs 8.17 facility). That is the entire office-vs-facility payment gap.