CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 64653 RVU and Medicare Payment (2026)
Chemodenerv eccrine glands — 0.86 work RVU, about $102.21 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 0.86
- PE RVU (non-facility)
- 2.03
- PE RVU (facility)
- 0.26
- MP RVU
- 0.17
- Office payment
- $102.21
- Facility payment
- $43.09
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 64653 in a non-facility setting with national GPCI: (0.86 + 2.03 + 0.17) × $33.4009 ≈ $102.21. The same code in a facility setting pays about $43.09 because facility PE RVU (0.26) replaces office PE RVU.
What changes by locality
GPCI moves 64653 non-facility payment from $89.89 to $132.7 across CMS localities — from Arkansas to San Jose-sunnyvale-santa Clara (san Benito Cnty). 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 64653?
0.86. 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 64653 in 2026?
About $102.21 non-facility ($43.09 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 (0.86) and malpractice RVU stay fixed; only practice expense changes (2.03 office vs 0.26 facility). That is the entire office-vs-facility payment gap.