CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 61585 RVU and Medicare Payment (2026)
Orbitocranial approach/skull — 41.51 work RVU, about $3,255.25 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 41.51
- PE RVU (non-facility)
- 38.43
- PE RVU (facility)
- 38.43
- MP RVU
- 17.52
- Office payment
- $3,255.25
- Facility payment
- $3,255.25
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 61585 in a non-facility setting with national GPCI: (41.51 + 38.43 + 17.52) × $33.4009 ≈ $3,255.25. The same code in a facility setting pays about $3,255.25 because facility PE RVU (38.43) replaces office PE RVU.
What changes by locality
GPCI moves 61585 non-facility payment from $2,790.45 to $4,202.63 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 61585?
41.51. 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 61585 in 2026?
About $3,255.25 non-facility ($3,255.25 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 (41.51) and malpractice RVU stay fixed; only practice expense changes (38.43 office vs 38.43 facility). That is the entire office-vs-facility payment gap.