CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 61711 RVU and Medicare Payment (2026)
Fusion of skull arteries — 37.27 work RVU, about $2,494.71 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 37.27
- PE RVU (non-facility)
- 21.94
- PE RVU (facility)
- 21.94
- MP RVU
- 15.48
- Office payment
- $2,494.71
- Facility payment
- $2,494.71
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 61711 in a non-facility setting with national GPCI: (37.27 + 21.94 + 15.48) × $33.4009 ≈ $2,494.71. The same code in a facility setting pays about $2,494.71 because facility PE RVU (21.94) replaces office PE RVU.
What changes by locality
GPCI moves 61711 non-facility payment from $2,106.14 to $3,315.32 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 61711?
37.27. 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 61711 in 2026?
About $2,494.71 non-facility ($2,494.71 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 (37.27) and malpractice RVU stay fixed; only practice expense changes (21.94 office vs 21.94 facility). That is the entire office-vs-facility payment gap.