CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 66250 RVU and Medicare Payment (2026)
Follow-up surgery of eye — 6.92 work RVU, about $751.52 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 6.92
- PE RVU (non-facility)
- 15.03
- PE RVU (facility)
- 6.84
- MP RVU
- 0.55
- Office payment
- $751.52
- Facility payment
- $477.97
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 66250 in a non-facility setting with national GPCI: (6.92 + 15.03 + 0.55) × $33.4009 ≈ $751.52. The same code in a facility setting pays about $477.97 because facility PE RVU (6.84) replaces office PE RVU.
What changes by locality
GPCI moves 66250 non-facility payment from $671.83 to $990.31 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 66250?
6.92. 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 66250 in 2026?
About $751.52 non-facility ($477.97 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 (6.92) and malpractice RVU stay fixed; only practice expense changes (15.03 office vs 6.84 facility). That is the entire office-vs-facility payment gap.