CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 66762 RVU and Medicare Payment (2026)
Revision of iris — 5.25 work RVU, about $481.64 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 5.25
- PE RVU (non-facility)
- 8.75
- PE RVU (facility)
- 5.32
- MP RVU
- 0.42
- Office payment
- $481.64
- Facility payment
- $367.08
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 66762 in a non-facility setting with national GPCI: (5.25 + 8.75 + 0.42) × $33.4009 ≈ $481.64. The same code in a facility setting pays about $367.08 because facility PE RVU (5.32) replaces office PE RVU.
What changes by locality
GPCI moves 66762 non-facility payment from $433.63 to $623.6 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 66762?
5.25. 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 66762 in 2026?
About $481.64 non-facility ($367.08 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 (5.25) and malpractice RVU stay fixed; only practice expense changes (8.75 office vs 5.32 facility). That is the entire office-vs-facility payment gap.