CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 63251 RVU and Medicare Payment (2026)
Revise spinal cord vsls thrc — 43.52 work RVU, about $2,904.54 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 43.52
- PE RVU (non-facility)
- 25.07
- PE RVU (facility)
- 25.07
- MP RVU
- 18.37
- Office payment
- $2,904.54
- Facility payment
- $2,904.54
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 63251 in a non-facility setting with national GPCI: (43.52 + 25.07 + 18.37) × $33.4009 ≈ $2,904.54. The same code in a facility setting pays about $2,904.54 because facility PE RVU (25.07) replaces office PE RVU.
What changes by locality
GPCI moves 63251 non-facility payment from $2,444.78 to $3,877.03 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 63251?
43.52. 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 63251 in 2026?
About $2,904.54 non-facility ($2,904.54 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 (43.52) and malpractice RVU stay fixed; only practice expense changes (25.07 office vs 25.07 facility). That is the entire office-vs-facility payment gap.