CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 65600 RVU and Medicare Payment (2026)
Revision of cornea — 4.1 work RVU, about $442.23 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 4.1
- PE RVU (non-facility)
- 8.81
- PE RVU (facility)
- 4.55
- MP RVU
- 0.33
- Office payment
- $442.23
- Facility payment
- $299.94
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 65600 in a non-facility setting with national GPCI: (4.1 + 8.81 + 0.33) × $33.4009 ≈ $442.23. The same code in a facility setting pays about $299.94 because facility PE RVU (4.55) replaces office PE RVU.
What changes by locality
GPCI moves 65600 non-facility payment from $395.39 to $582.24 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 65600?
4.1. 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 65600 in 2026?
About $442.23 non-facility ($299.94 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 (4.1) and malpractice RVU stay fixed; only practice expense changes (8.81 office vs 4.55 facility). That is the entire office-vs-facility payment gap.