CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 63621 RVU and Medicare Payment (2026)
Srs spinal lesion addl — 3.9 work RVU, about $230.8 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 3.9
- PE RVU (non-facility)
- 1.37
- PE RVU (facility)
- 1.37
- MP RVU
- 1.64
- Office payment
- $230.8
- Facility payment
- $230.8
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 63621 in a non-facility setting with national GPCI: (3.9 + 1.37 + 1.64) × $33.4009 ≈ $230.8. The same code in a facility setting pays about $230.8 because facility PE RVU (1.37) replaces office PE RVU.
What changes by locality
GPCI moves 63621 non-facility payment from $190.97 to $316.43 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 63621?
3.9. 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 63621 in 2026?
About $230.8 non-facility ($230.8 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 (3.9) and malpractice RVU stay fixed; only practice expense changes (1.37 office vs 1.37 facility). That is the entire office-vs-facility payment gap.