CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 54670 RVU and Medicare Payment (2026)
Repair testis injury — 6.48 work RVU, about $378.77 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 6.48
- PE RVU (non-facility)
- 4.02
- PE RVU (facility)
- 4.02
- MP RVU
- 0.84
- Office payment
- $378.77
- Facility payment
- $378.77
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 54670 in a non-facility setting with national GPCI: (6.48 + 4.02 + 0.84) × $33.4009 ≈ $378.77. The same code in a facility setting pays about $378.77 because facility PE RVU (4.02) replaces office PE RVU.
What changes by locality
GPCI moves 54670 non-facility payment from $346.23 to $483.12 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 54670?
6.48. 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 54670 in 2026?
About $378.77 non-facility ($378.77 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 (6.48) and malpractice RVU stay fixed; only practice expense changes (4.02 office vs 4.02 facility). That is the entire office-vs-facility payment gap.