CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 63040 RVU and Medicare Payment (2026)
Laminotomy single cervical — 19.8 work RVU, about $1,287.94 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 19.8
- PE RVU (non-facility)
- 12.61
- PE RVU (facility)
- 12.61
- MP RVU
- 6.15
- Office payment
- $1,287.94
- Facility payment
- $1,287.94
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 63040 in a non-facility setting with national GPCI: (19.8 + 12.61 + 6.15) × $33.4009 ≈ $1,287.94. The same code in a facility setting pays about $1,287.94 because facility PE RVU (12.61) replaces office PE RVU.
What changes by locality
GPCI moves 63040 non-facility payment from $1,127.74 to $1,619.29 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 63040?
19.8. 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 63040 in 2026?
About $1,287.94 non-facility ($1,287.94 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 (19.8) and malpractice RVU stay fixed; only practice expense changes (12.61 office vs 12.61 facility). That is the entire office-vs-facility payment gap.