CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 63055 RVU and Medicare Payment (2026)
Decompress spinal cord thrc — 22.96 work RVU, about $1,553.14 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 22.96
- PE RVU (non-facility)
- 14.98
- PE RVU (facility)
- 14.98
- MP RVU
- 8.56
- Office payment
- $1,553.14
- Facility payment
- $1,553.14
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 63055 in a non-facility setting with national GPCI: (22.96 + 14.98 + 8.56) × $33.4009 ≈ $1,553.14. The same code in a facility setting pays about $1,553.14 because facility PE RVU (14.98) replaces office PE RVU.
What changes by locality
GPCI moves 63055 non-facility payment from $1,334.28 to $2,010.82 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 63055?
22.96. 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 63055 in 2026?
About $1,553.14 non-facility ($1,553.14 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 (22.96) and malpractice RVU stay fixed; only practice expense changes (14.98 office vs 14.98 facility). That is the entire office-vs-facility payment gap.