CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 67039 RVU and Medicare Payment (2026)
Laser treatment of retina — 12.87 work RVU, about $809.3 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 12.87
- PE RVU (non-facility)
- 10.32
- PE RVU (facility)
- 10.32
- MP RVU
- 1.04
- Office payment
- $809.3
- Facility payment
- $809.3
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 67039 in a non-facility setting with national GPCI: (12.87 + 10.32 + 1.04) × $33.4009 ≈ $809.3. The same code in a facility setting pays about $809.3 because facility PE RVU (10.32) replaces office PE RVU.
What changes by locality
GPCI moves 67039 non-facility payment from $743.85 to $1,031.05 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 67039?
12.87. 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 67039 in 2026?
About $809.3 non-facility ($809.3 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 (12.87) and malpractice RVU stay fixed; only practice expense changes (10.32 office vs 10.32 facility). That is the entire office-vs-facility payment gap.