CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 31512 RVU and Medicare Payment (2026)
Removal of larynx lesion — 2.02 work RVU, about $216.77 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 2.02
- PE RVU (non-facility)
- 4.18
- PE RVU (facility)
- 1.06
- MP RVU
- 0.29
- Office payment
- $216.77
- Facility payment
- $112.56
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 31512 in a non-facility setting with national GPCI: (2.02 + 4.18 + 0.29) × $33.4009 ≈ $216.77. The same code in a facility setting pays about $112.56 because facility PE RVU (1.06) replaces office PE RVU.
What changes by locality
GPCI moves 31512 non-facility payment from $192.39 to $281.41 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 31512?
2.02. 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 31512 in 2026?
About $216.77 non-facility ($112.56 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 (2.02) and malpractice RVU stay fixed; only practice expense changes (4.18 office vs 1.06 facility). That is the entire office-vs-facility payment gap.