CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 66852 RVU and Medicare Payment (2026)
Removal of lens material — 11.12 work RVU, about $710.1 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 11.12
- PE RVU (non-facility)
- 9.25
- PE RVU (facility)
- 9.25
- MP RVU
- 0.89
- Office payment
- $710.1
- Facility payment
- $710.1
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 66852 in a non-facility setting with national GPCI: (11.12 + 9.25 + 0.89) × $33.4009 ≈ $710.1. The same code in a facility setting pays about $710.1 because facility PE RVU (9.25) replaces office PE RVU.
What changes by locality
GPCI moves 66852 non-facility payment from $652.12 to $902.55 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 66852?
11.12. 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 66852 in 2026?
About $710.1 non-facility ($710.1 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 (11.12) and malpractice RVU stay fixed; only practice expense changes (9.25 office vs 9.25 facility). That is the entire office-vs-facility payment gap.