CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 63746 RVU and Medicare Payment (2026)
Removal of spinal shunt — 7.15 work RVU, about $643.3 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 7.15
- PE RVU (non-facility)
- 9.1
- PE RVU (facility)
- 9.1
- MP RVU
- 3.01
- Office payment
- $643.3
- Facility payment
- $643.3
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 63746 in a non-facility setting with national GPCI: (7.15 + 9.1 + 3.01) × $33.4009 ≈ $643.3. The same code in a facility setting pays about $643.3 because facility PE RVU (9.1) replaces office PE RVU.
What changes by locality
GPCI moves 63746 non-facility payment from $551.68 to $809.48 across CMS localities — from Arkansas 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 63746?
7.15. 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 63746 in 2026?
About $643.3 non-facility ($643.3 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 (7.15) and malpractice RVU stay fixed; only practice expense changes (9.1 office vs 9.1 facility). That is the entire office-vs-facility payment gap.