CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 62201 RVU and Medicare Payment (2026)
Brain cavity shunt w/scope — 15.64 work RVU, about $1,226.48 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 15.64
- PE RVU (non-facility)
- 14.53
- PE RVU (facility)
- 14.53
- MP RVU
- 6.55
- Office payment
- $1,226.48
- Facility payment
- $1,226.48
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 62201 in a non-facility setting with national GPCI: (15.64 + 14.53 + 6.55) × $33.4009 ≈ $1,226.48. The same code in a facility setting pays about $1,226.48 because facility PE RVU (14.53) replaces office PE RVU.
What changes by locality
GPCI moves 62201 non-facility payment from $1,051.95 to $1,580.89 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 62201?
15.64. 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 62201 in 2026?
About $1,226.48 non-facility ($1,226.48 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 (15.64) and malpractice RVU stay fixed; only practice expense changes (14.53 office vs 14.53 facility). That is the entire office-vs-facility payment gap.