CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 61615 RVU and Medicare Payment (2026)
Resect/excise lesion skull — 34.88 work RVU, about $2,818.37 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 34.88
- PE RVU (non-facility)
- 34.76
- PE RVU (facility)
- 34.76
- MP RVU
- 14.74
- Office payment
- $2,818.37
- Facility payment
- $2,818.37
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 61615 in a non-facility setting with national GPCI: (34.88 + 34.76 + 14.74) × $33.4009 ≈ $2,818.37. The same code in a facility setting pays about $2,818.37 because facility PE RVU (34.76) replaces office PE RVU.
What changes by locality
GPCI moves 61615 non-facility payment from $2,415.89 to $3,618.74 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 61615?
34.88. 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 61615 in 2026?
About $2,818.37 non-facility ($2,818.37 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 (34.88) and malpractice RVU stay fixed; only practice expense changes (34.76 office vs 34.76 facility). That is the entire office-vs-facility payment gap.