CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 63250 RVU and Medicare Payment (2026)
Revise spinal cord vsls crvl — 42.76 work RVU, about $2,834.4 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 42.76
- PE RVU (non-facility)
- 24.05
- PE RVU (facility)
- 24.05
- MP RVU
- 18.05
- Office payment
- $2,834.4
- Facility payment
- $2,834.4
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 63250 in a non-facility setting with national GPCI: (42.76 + 24.05 + 18.05) × $33.4009 ≈ $2,834.4. The same code in a facility setting pays about $2,834.4 because facility PE RVU (24.05) replaces office PE RVU.
What changes by locality
GPCI moves 63250 non-facility payment from $2,383.46 to $3,789.15 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 63250?
42.76. 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 63250 in 2026?
About $2,834.4 non-facility ($2,834.4 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 (42.76) and malpractice RVU stay fixed; only practice expense changes (24.05 office vs 24.05 facility). That is the entire office-vs-facility payment gap.