CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 63035 RVU and Medicare Payment (2026)
Lamot dcmprn nrv rt ea addl — 3.76 work RVU, about $206.42 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 3.76
- PE RVU (non-facility)
- 1.25
- PE RVU (facility)
- 1.25
- MP RVU
- 1.17
- Office payment
- $206.42
- Facility payment
- $206.42
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 63035 in a non-facility setting with national GPCI: (3.76 + 1.25 + 1.17) × $33.4009 ≈ $206.42. The same code in a facility setting pays about $206.42 because facility PE RVU (1.25) replaces office PE RVU.
What changes by locality
GPCI moves 63035 non-facility payment from $177.62 to $267.88 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 63035?
3.76. 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 63035 in 2026?
About $206.42 non-facility ($206.42 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 (3.76) and malpractice RVU stay fixed; only practice expense changes (1.25 office vs 1.25 facility). That is the entire office-vs-facility payment gap.