CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 67005 RVU and Medicare Payment (2026)
Partial removal of eye fluid — 5.74 work RVU, about $413.5 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 5.74
- PE RVU (non-facility)
- 6.19
- PE RVU (facility)
- 6.19
- MP RVU
- 0.45
- Office payment
- $413.5
- Facility payment
- $413.5
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 67005 in a non-facility setting with national GPCI: (5.74 + 6.19 + 0.45) × $33.4009 ≈ $413.5. The same code in a facility setting pays about $413.5 because facility PE RVU (6.19) replaces office PE RVU.
What changes by locality
GPCI moves 67005 non-facility payment from $377.06 to $519 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 67005?
5.74. 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 67005 in 2026?
About $413.5 non-facility ($413.5 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 (5.74) and malpractice RVU stay fixed; only practice expense changes (6.19 office vs 6.19 facility). That is the entire office-vs-facility payment gap.