CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 61583 RVU and Medicare Payment (2026)
Craniofacial approach skull — 37.54 work RVU, about $2,923.58 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 37.54
- PE RVU (non-facility)
- 34.62
- PE RVU (facility)
- 34.62
- MP RVU
- 15.37
- Office payment
- $2,923.58
- Facility payment
- $2,923.58
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 61583 in a non-facility setting with national GPCI: (37.54 + 34.62 + 15.37) × $33.4009 ≈ $2,923.58. The same code in a facility setting pays about $2,923.58 because facility PE RVU (34.62) replaces office PE RVU.
What changes by locality
GPCI moves 61583 non-facility payment from $2,511.55 to $3,755.94 across CMS localities — from Arkansas to Miami. 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 61583?
37.54. 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 61583 in 2026?
About $2,923.58 non-facility ($2,923.58 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 (37.54) and malpractice RVU stay fixed; only practice expense changes (34.62 office vs 34.62 facility). That is the entire office-vs-facility payment gap.