CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 66172 RVU and Medicare Payment (2026)
Incision of eye — 14.47 work RVU, about $1,029.08 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 14.47
- PE RVU (non-facility)
- 15.18
- PE RVU (facility)
- 15.18
- MP RVU
- 1.16
- Office payment
- $1,029.08
- Facility payment
- $1,029.08
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 66172 in a non-facility setting with national GPCI: (14.47 + 15.18 + 1.16) × $33.4009 ≈ $1,029.08. The same code in a facility setting pays about $1,029.08 because facility PE RVU (15.18) replaces office PE RVU.
What changes by locality
GPCI moves 66172 non-facility payment from $938.8 to $1,288.37 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 66172?
14.47. 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 66172 in 2026?
About $1,029.08 non-facility ($1,029.08 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 (14.47) and malpractice RVU stay fixed; only practice expense changes (15.18 office vs 15.18 facility). That is the entire office-vs-facility payment gap.