CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 64774 RVU and Medicare Payment (2026)
Remove skin nerve lesion — 5.66 work RVU, about $411.83 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 5.66
- PE RVU (non-facility)
- 5.48
- PE RVU (facility)
- 5.48
- MP RVU
- 1.19
- Office payment
- $411.83
- Facility payment
- $411.83
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 64774 in a non-facility setting with national GPCI: (5.66 + 5.48 + 1.19) × $33.4009 ≈ $411.83. The same code in a facility setting pays about $411.83 because facility PE RVU (5.48) replaces office PE RVU.
What changes by locality
GPCI moves 64774 non-facility payment from $366.75 to $500.41 across CMS localities — from Arkansas to Alaska. 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 64774?
5.66. 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 64774 in 2026?
About $411.83 non-facility ($411.83 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 (5.66) and malpractice RVU stay fixed; only practice expense changes (5.48 office vs 5.48 facility). That is the entire office-vs-facility payment gap.