CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 62120 RVU and Medicare Payment (2026)
Repair skull cavity lesion — 23.98 work RVU, about $2,144.67 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 23.98
- PE RVU (non-facility)
- 30.1
- PE RVU (facility)
- 30.1
- MP RVU
- 10.13
- Office payment
- $2,144.67
- Facility payment
- $2,144.67
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 62120 in a non-facility setting with national GPCI: (23.98 + 30.1 + 10.13) × $33.4009 ≈ $2,144.67. The same code in a facility setting pays about $2,144.67 because facility PE RVU (30.1) replaces office PE RVU.
What changes by locality
GPCI moves 62120 non-facility payment from $1,838.81 to $2,703.23 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 62120?
23.98. 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 62120 in 2026?
About $2,144.67 non-facility ($2,144.67 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 (23.98) and malpractice RVU stay fixed; only practice expense changes (30.1 office vs 30.1 facility). That is the entire office-vs-facility payment gap.