CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 63268 RVU and Medicare Payment (2026)
Excise intrspinl lesion scrl — 19.52 work RVU, about $1,457.62 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 19.52
- PE RVU (non-facility)
- 15.88
- PE RVU (facility)
- 15.88
- MP RVU
- 8.24
- Office payment
- $1,457.62
- Facility payment
- $1,457.62
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 63268 in a non-facility setting with national GPCI: (19.52 + 15.88 + 8.24) × $33.4009 ≈ $1,457.62. The same code in a facility setting pays about $1,457.62 because facility PE RVU (15.88) replaces office PE RVU.
What changes by locality
GPCI moves 63268 non-facility payment from $1,244.88 to $1,900.18 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 63268?
19.52. 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 63268 in 2026?
About $1,457.62 non-facility ($1,457.62 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 (19.52) and malpractice RVU stay fixed; only practice expense changes (15.88 office vs 15.88 facility). That is the entire office-vs-facility payment gap.