CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 63267 RVU and Medicare Payment (2026)
Excise intrspinl lesion lmbr — 18.96 work RVU, about $1,322.68 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 18.96
- PE RVU (non-facility)
- 13.93
- PE RVU (facility)
- 13.93
- MP RVU
- 6.71
- Office payment
- $1,322.68
- Facility payment
- $1,322.68
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 63267 in a non-facility setting with national GPCI: (18.96 + 13.93 + 6.71) × $33.4009 ≈ $1,322.68. The same code in a facility setting pays about $1,322.68 because facility PE RVU (13.93) replaces office PE RVU.
What changes by locality
GPCI moves 63267 non-facility payment from $1,147.45 to $1,684.43 across CMS localities — from Nebraska 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 63267?
18.96. 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 63267 in 2026?
About $1,322.68 non-facility ($1,322.68 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 (18.96) and malpractice RVU stay fixed; only practice expense changes (13.93 office vs 13.93 facility). That is the entire office-vs-facility payment gap.