CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 67412 RVU and Medicare Payment (2026)
Explore/treat eye socket — 10.04 work RVU, about $873.77 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 10.04
- PE RVU (non-facility)
- 15.28
- PE RVU (facility)
- 15.28
- MP RVU
- 0.84
- Office payment
- $873.77
- Facility payment
- $873.77
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 67412 in a non-facility setting with national GPCI: (10.04 + 15.28 + 0.84) × $33.4009 ≈ $873.77. The same code in a facility setting pays about $873.77 because facility PE RVU (15.28) replaces office PE RVU.
What changes by locality
GPCI moves 67412 non-facility payment from $788.2 to $1,123.22 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 67412?
10.04. 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 67412 in 2026?
About $873.77 non-facility ($873.77 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 (10.04) and malpractice RVU stay fixed; only practice expense changes (15.28 office vs 15.28 facility). That is the entire office-vs-facility payment gap.