CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 67025 RVU and Medicare Payment (2026)
Replace eye fluid — 7.91 work RVU, about $742.5 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 7.91
- PE RVU (non-facility)
- 13.7
- PE RVU (facility)
- 7.64
- MP RVU
- 0.62
- Office payment
- $742.5
- Facility payment
- $540.09
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 67025 in a non-facility setting with national GPCI: (7.91 + 13.7 + 0.62) × $33.4009 ≈ $742.5. The same code in a facility setting pays about $540.09 because facility PE RVU (7.64) replaces office PE RVU.
What changes by locality
GPCI moves 67025 non-facility payment from $667.94 to $964.21 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 67025?
7.91. 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 67025 in 2026?
About $742.5 non-facility ($540.09 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 (7.91) and malpractice RVU stay fixed; only practice expense changes (13.7 office vs 7.64 facility). That is the entire office-vs-facility payment gap.