CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 40510 RVU and Medicare Payment (2026)
Partial excision of lip — 4.7 work RVU, about $498.34 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 4.7
- PE RVU (non-facility)
- 9.53
- PE RVU (facility)
- 4.11
- MP RVU
- 0.69
- Office payment
- $498.34
- Facility payment
- $317.31
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 40510 in a non-facility setting with national GPCI: (4.7 + 9.53 + 0.69) × $33.4009 ≈ $498.34. The same code in a facility setting pays about $317.31 because facility PE RVU (4.11) replaces office PE RVU.
What changes by locality
GPCI moves 40510 non-facility payment from $442.28 to $645.61 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 40510?
4.7. 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 40510 in 2026?
About $498.34 non-facility ($317.31 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 (4.7) and malpractice RVU stay fixed; only practice expense changes (9.53 office vs 4.11 facility). That is the entire office-vs-facility payment gap.