CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31

CPT 61606 RVU and Medicare Payment (2026)

Resect/excise cranial lesion — 41 work RVU, about $2,728.19 non-facility Medicare payment at the 2026 conversion factor.

Work RVU
41
PE RVU (non-facility)
26.61
PE RVU (facility)
26.61
MP RVU
14.07
Office payment
$2,728.19
Facility payment
$2,728.19

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 61606 in a non-facility setting with national GPCI: (41 + 26.61 + 14.07) × $33.4009 ≈ $2,728.19. The same code in a facility setting pays about $2,728.19 because facility PE RVU (26.61) replaces office PE RVU.

What changes by locality

GPCI moves 61606 non-facility payment from $2,365.65 to $3,483.18 across CMS localities — from Wisconsin 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 61606?

41. 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 61606 in 2026?

About $2,728.19 non-facility ($2,728.19 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) and malpractice RVU stay fixed; only practice expense changes (26.61 office vs 26.61 facility). That is the entire office-vs-facility payment gap.