CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 65285 RVU and Medicare Payment (2026)
Repair of eye wound — 14.98 work RVU, about $929.21 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 14.98
- PE RVU (non-facility)
- 11.63
- PE RVU (facility)
- 11.63
- MP RVU
- 1.21
- Office payment
- $929.21
- Facility payment
- $929.21
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 65285 in a non-facility setting with national GPCI: (14.98 + 11.63 + 1.21) × $33.4009 ≈ $929.21. The same code in a facility setting pays about $929.21 because facility PE RVU (11.63) replaces office PE RVU.
What changes by locality
GPCI moves 65285 non-facility payment from $854.84 to $1,186.49 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 65285?
14.98. 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 65285 in 2026?
About $929.21 non-facility ($929.21 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 (14.98) and malpractice RVU stay fixed; only practice expense changes (11.63 office vs 11.63 facility). That is the entire office-vs-facility payment gap.