CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 63200 RVU and Medicare Payment (2026)
Release spinal cord lumbar — 20.9 work RVU, about $1,535.11 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 20.9
- PE RVU (non-facility)
- 16.33
- PE RVU (facility)
- 16.33
- MP RVU
- 8.73
- Office payment
- $1,535.11
- Facility payment
- $1,535.11
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 63200 in a non-facility setting with national GPCI: (20.9 + 16.33 + 8.73) × $33.4009 ≈ $1,535.11. The same code in a facility setting pays about $1,535.11 because facility PE RVU (16.33) replaces office PE RVU.
What changes by locality
GPCI moves 63200 non-facility payment from $1,310.42 to $2,003.31 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 63200?
20.9. 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 63200 in 2026?
About $1,535.11 non-facility ($1,535.11 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 (20.9) and malpractice RVU stay fixed; only practice expense changes (16.33 office vs 16.33 facility). That is the entire office-vs-facility payment gap.