CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 61616 RVU and Medicare Payment (2026)
Resect/excise lesion skull — 45.57 work RVU, about $3,155.38 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 45.57
- PE RVU (non-facility)
- 32.19
- PE RVU (facility)
- 32.19
- MP RVU
- 16.71
- Office payment
- $3,155.38
- Facility payment
- $3,155.38
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 61616 in a non-facility setting with national GPCI: (45.57 + 32.19 + 16.71) × $33.4009 ≈ $3,155.38. The same code in a facility setting pays about $3,155.38 because facility PE RVU (32.19) replaces office PE RVU.
What changes by locality
GPCI moves 61616 non-facility payment from $2,724 to $4,052.84 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 61616?
45.57. 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 61616 in 2026?
About $3,155.38 non-facility ($3,155.38 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 (45.57) and malpractice RVU stay fixed; only practice expense changes (32.19 office vs 32.19 facility). That is the entire office-vs-facility payment gap.