CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 66635 RVU and Medicare Payment (2026)
Removal of iris — 7.19 work RVU, about $490.66 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 7.19
- PE RVU (non-facility)
- 6.93
- PE RVU (facility)
- 6.93
- MP RVU
- 0.57
- Office payment
- $490.66
- Facility payment
- $490.66
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 66635 in a non-facility setting with national GPCI: (7.19 + 6.93 + 0.57) × $33.4009 ≈ $490.66. The same code in a facility setting pays about $490.66 because facility PE RVU (6.93) replaces office PE RVU.
What changes by locality
GPCI moves 66635 non-facility payment from $448.79 to $617.23 across CMS localities — from Arkansas to Alaska. 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 66635?
7.19. 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 66635 in 2026?
About $490.66 non-facility ($490.66 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 (7.19) and malpractice RVU stay fixed; only practice expense changes (6.93 office vs 6.93 facility). That is the entire office-vs-facility payment gap.