CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 61592 RVU and Medicare Payment (2026)
Orbitocranial approach/skull — 42 work RVU, about $3,033.47 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 42
- PE RVU (non-facility)
- 32.7
- PE RVU (facility)
- 32.7
- MP RVU
- 16.12
- Office payment
- $3,033.47
- Facility payment
- $3,033.47
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 61592 in a non-facility setting with national GPCI: (42 + 32.7 + 16.12) × $33.4009 ≈ $3,033.47. The same code in a facility setting pays about $3,033.47 because facility PE RVU (32.7) replaces office PE RVU.
What changes by locality
GPCI moves 61592 non-facility payment from $2,614.47 to $3,901.5 across CMS localities — from Nebraska 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 61592?
42. 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 61592 in 2026?
About $3,033.47 non-facility ($3,033.47 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 (42) and malpractice RVU stay fixed; only practice expense changes (32.7 office vs 32.7 facility). That is the entire office-vs-facility payment gap.