CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 31205 RVU and Medicare Payment (2026)
Removal of ethmoid sinus — 10.32 work RVU, about $841.03 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 10.32
- PE RVU (non-facility)
- 13.94
- PE RVU (facility)
- 13.94
- MP RVU
- 0.92
- Office payment
- $841.03
- Facility payment
- $841.03
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 31205 in a non-facility setting with national GPCI: (10.32 + 13.94 + 0.92) × $33.4009 ≈ $841.03. The same code in a facility setting pays about $841.03 because facility PE RVU (13.94) replaces office PE RVU.
What changes by locality
GPCI moves 31205 non-facility payment from $760.48 to $1,070.49 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 31205?
10.32. 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 31205 in 2026?
About $841.03 non-facility ($841.03 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 (10.32) and malpractice RVU stay fixed; only practice expense changes (13.94 office vs 13.94 facility). That is the entire office-vs-facility payment gap.