CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 63057 RVU and Medicare Payment (2026)
Decompress spine cord add-on — 5.12 work RVU, about $287.58 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 5.12
- PE RVU (non-facility)
- 1.73
- PE RVU (facility)
- 1.73
- MP RVU
- 1.76
- Office payment
- $287.58
- Facility payment
- $287.58
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 63057 in a non-facility setting with national GPCI: (5.12 + 1.73 + 1.76) × $33.4009 ≈ $287.58. The same code in a facility setting pays about $287.58 because facility PE RVU (1.73) replaces office PE RVU.
What changes by locality
GPCI moves 63057 non-facility payment from $244.48 to $379.83 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 63057?
5.12. 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 63057 in 2026?
About $287.58 non-facility ($287.58 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 (5.12) and malpractice RVU stay fixed; only practice expense changes (1.73 office vs 1.73 facility). That is the entire office-vs-facility payment gap.