CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 61580 RVU and Medicare Payment (2026)
Craniofacial approach skull — 33.65 work RVU, about $2,218.49 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 33.65
- PE RVU (non-facility)
- 25.75
- PE RVU (facility)
- 25.75
- MP RVU
- 7.02
- Office payment
- $2,218.49
- Facility payment
- $2,218.49
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 61580 in a non-facility setting with national GPCI: (33.65 + 25.75 + 7.02) × $33.4009 ≈ $2,218.49. The same code in a facility setting pays about $2,218.49 because facility PE RVU (25.75) replaces office PE RVU.
What changes by locality
GPCI moves 61580 non-facility payment from $1,983.5 to $2,731.08 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 61580?
33.65. 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 61580 in 2026?
About $2,218.49 non-facility ($2,218.49 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 (33.65) and malpractice RVU stay fixed; only practice expense changes (25.75 office vs 25.75 facility). That is the entire office-vs-facility payment gap.