CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 31267 RVU and Medicare Payment (2026)
Endoscopy maxillary sinus — 4.56 work RVU, about $224.12 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 4.56
- PE RVU (non-facility)
- 1.49
- PE RVU (facility)
- 1.49
- MP RVU
- 0.66
- Office payment
- $224.12
- Facility payment
- $224.12
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 31267 in a non-facility setting with national GPCI: (4.56 + 1.49 + 0.66) × $33.4009 ≈ $224.12. The same code in a facility setting pays about $224.12 because facility PE RVU (1.49) replaces office PE RVU.
What changes by locality
GPCI moves 31267 non-facility payment from $206.41 to $293.61 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 31267?
4.56. 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 31267 in 2026?
About $224.12 non-facility ($224.12 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 (4.56) and malpractice RVU stay fixed; only practice expense changes (1.49 office vs 1.49 facility). That is the entire office-vs-facility payment gap.