CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 66830 RVU and Medicare Payment (2026)
Removal of lens lesion — 9.23 work RVU, about $603.22 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 9.23
- PE RVU (non-facility)
- 8.11
- PE RVU (facility)
- 8.11
- MP RVU
- 0.72
- Office payment
- $603.22
- Facility payment
- $603.22
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 66830 in a non-facility setting with national GPCI: (9.23 + 8.11 + 0.72) × $33.4009 ≈ $603.22. The same code in a facility setting pays about $603.22 because facility PE RVU (8.11) replaces office PE RVU.
What changes by locality
GPCI moves 66830 non-facility payment from $553.36 to $764.17 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 66830?
9.23. 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 66830 in 2026?
About $603.22 non-facility ($603.22 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 (9.23) and malpractice RVU stay fixed; only practice expense changes (8.11 office vs 8.11 facility). That is the entire office-vs-facility payment gap.