CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 66505 RVU and Medicare Payment (2026)
Incision of iris — 4.11 work RVU, about $382.77 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 4.11
- PE RVU (non-facility)
- 7.01
- PE RVU (facility)
- 7.01
- MP RVU
- 0.34
- Office payment
- $382.77
- Facility payment
- $382.77
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 66505 in a non-facility setting with national GPCI: (4.11 + 7.01 + 0.34) × $33.4009 ≈ $382.77. The same code in a facility setting pays about $382.77 because facility PE RVU (7.01) replaces office PE RVU.
What changes by locality
GPCI moves 66505 non-facility payment from $344.25 to $496.1 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 66505?
4.11. 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 66505 in 2026?
About $382.77 non-facility ($382.77 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 (4.11) and malpractice RVU stay fixed; only practice expense changes (7.01 office vs 7.01 facility). That is the entire office-vs-facility payment gap.