CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 65820 RVU and Medicare Payment (2026)
Goniotomy — 8.69 work RVU, about $723.46 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 8.69
- PE RVU (non-facility)
- 12.29
- PE RVU (facility)
- 12.29
- MP RVU
- 0.68
- Office payment
- $723.46
- Facility payment
- $723.46
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 65820 in a non-facility setting with national GPCI: (8.69 + 12.29 + 0.68) × $33.4009 ≈ $723.46. The same code in a facility setting pays about $723.46 because facility PE RVU (12.29) replaces office PE RVU.
What changes by locality
GPCI moves 65820 non-facility payment from $654.57 to $926.29 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 65820?
8.69. 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 65820 in 2026?
About $723.46 non-facility ($723.46 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 (8.69) and malpractice RVU stay fixed; only practice expense changes (12.29 office vs 12.29 facility). That is the entire office-vs-facility payment gap.