CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 61751 RVU and Medicare Payment (2026)
Brain biopsy w/ct/mr guide — 18.32 work RVU, about $1,386.47 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 18.32
- PE RVU (non-facility)
- 15.49
- PE RVU (facility)
- 15.49
- MP RVU
- 7.7
- Office payment
- $1,386.47
- Facility payment
- $1,386.47
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 61751 in a non-facility setting with national GPCI: (18.32 + 15.49 + 7.7) × $33.4009 ≈ $1,386.47. The same code in a facility setting pays about $1,386.47 because facility PE RVU (15.49) replaces office PE RVU.
What changes by locality
GPCI moves 61751 non-facility payment from $1,186.66 to $1,800.92 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 61751?
18.32. 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 61751 in 2026?
About $1,386.47 non-facility ($1,386.47 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 (18.32) and malpractice RVU stay fixed; only practice expense changes (15.49 office vs 15.49 facility). That is the entire office-vs-facility payment gap.