CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 65093 RVU and Medicare Payment (2026)
Revise eye with implant — 6.86 work RVU, about $659.67 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 6.86
- PE RVU (non-facility)
- 12.34
- PE RVU (facility)
- 12.34
- MP RVU
- 0.55
- Office payment
- $659.67
- Facility payment
- $659.67
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 65093 in a non-facility setting with national GPCI: (6.86 + 12.34 + 0.55) × $33.4009 ≈ $659.67. The same code in a facility setting pays about $659.67 because facility PE RVU (12.34) replaces office PE RVU.
What changes by locality
GPCI moves 65093 non-facility payment from $592.64 to $858.53 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 65093?
6.86. 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 65093 in 2026?
About $659.67 non-facility ($659.67 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 (6.86) and malpractice RVU stay fixed; only practice expense changes (12.34 office vs 12.34 facility). That is the entire office-vs-facility payment gap.