CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 67316 RVU and Medicare Payment (2026)
Revise two eye muscles — 10.05 work RVU, about $596.21 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 10.05
- PE RVU (non-facility)
- 6.99
- PE RVU (facility)
- 6.99
- MP RVU
- 0.81
- Office payment
- $596.21
- Facility payment
- $596.21
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 67316 in a non-facility setting with national GPCI: (10.05 + 6.99 + 0.81) × $33.4009 ≈ $596.21. The same code in a facility setting pays about $596.21 because facility PE RVU (6.99) replaces office PE RVU.
What changes by locality
GPCI moves 67316 non-facility payment from $550.16 to $767.07 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 67316?
10.05. 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 67316 in 2026?
About $596.21 non-facility ($596.21 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 (10.05) and malpractice RVU stay fixed; only practice expense changes (6.99 office vs 6.99 facility). That is the entire office-vs-facility payment gap.