CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 67110 RVU and Medicare Payment (2026)
Repair detached retina — 9.99 work RVU, about $891.47 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 9.99
- PE RVU (non-facility)
- 15.9
- PE RVU (facility)
- 10.12
- MP RVU
- 0.8
- Office payment
- $891.47
- Facility payment
- $698.41
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 67110 in a non-facility setting with national GPCI: (9.99 + 15.9 + 0.8) × $33.4009 ≈ $891.47. The same code in a facility setting pays about $698.41 because facility PE RVU (10.12) replaces office PE RVU.
What changes by locality
GPCI moves 67110 non-facility payment from $803.63 to $1,150.51 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 67110?
9.99. 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 67110 in 2026?
About $891.47 non-facility ($698.41 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 (9.99) and malpractice RVU stay fixed; only practice expense changes (15.9 office vs 10.12 facility). That is the entire office-vs-facility payment gap.