CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 67113 RVU and Medicare Payment (2026)
Repair retinal detach cplx — 18.53 work RVU, about $1,110.25 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 18.53
- PE RVU (non-facility)
- 13.24
- PE RVU (facility)
- 13.24
- MP RVU
- 1.47
- Office payment
- $1,110.25
- Facility payment
- $1,110.25
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 67113 in a non-facility setting with national GPCI: (18.53 + 13.24 + 1.47) × $33.4009 ≈ $1,110.25. The same code in a facility setting pays about $1,110.25 because facility PE RVU (13.24) replaces office PE RVU.
What changes by locality
GPCI moves 67113 non-facility payment from $1,024.08 to $1,426.4 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 67113?
18.53. 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 67113 in 2026?
About $1,110.25 non-facility ($1,110.25 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 (18.53) and malpractice RVU stay fixed; only practice expense changes (13.24 office vs 13.24 facility). That is the entire office-vs-facility payment gap.