CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 67208 RVU and Medicare Payment (2026)
Treatment of retinal lesion — 7.46 work RVU, about $604.89 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 7.46
- PE RVU (non-facility)
- 10.06
- PE RVU (facility)
- 6.67
- MP RVU
- 0.59
- Office payment
- $604.89
- Facility payment
- $491.66
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 67208 in a non-facility setting with national GPCI: (7.46 + 10.06 + 0.59) × $33.4009 ≈ $604.89. The same code in a facility setting pays about $491.66 because facility PE RVU (6.67) replaces office PE RVU.
What changes by locality
GPCI moves 67208 non-facility payment from $547.95 to $771.67 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 67208?
7.46. 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 67208 in 2026?
About $604.89 non-facility ($491.66 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 (7.46) and malpractice RVU stay fixed; only practice expense changes (10.06 office vs 6.67 facility). That is the entire office-vs-facility payment gap.