CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 63307 RVU and Medicare Payment (2026)
Remov vert idrl bdy lmbr/sac — 34.09 work RVU, about $2,325.37 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 34.09
- PE RVU (non-facility)
- 21.14
- PE RVU (facility)
- 21.14
- MP RVU
- 14.39
- Office payment
- $2,325.37
- Facility payment
- $2,325.37
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 63307 in a non-facility setting with national GPCI: (34.09 + 21.14 + 14.39) × $33.4009 ≈ $2,325.37. The same code in a facility setting pays about $2,325.37 because facility PE RVU (21.14) replaces office PE RVU.
What changes by locality
GPCI moves 63307 non-facility payment from $1,963.11 to $3,089.22 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 63307?
34.09. 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 63307 in 2026?
About $2,325.37 non-facility ($2,325.37 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 (34.09) and malpractice RVU stay fixed; only practice expense changes (21.14 office vs 21.14 facility). That is the entire office-vs-facility payment gap.