CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 67450 RVU and Medicare Payment (2026)
Explore/biopsy eye socket — 15.02 work RVU, about $1,218.13 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 15.02
- PE RVU (non-facility)
- 20.24
- PE RVU (facility)
- 20.24
- MP RVU
- 1.21
- Office payment
- $1,218.13
- Facility payment
- $1,218.13
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 67450 in a non-facility setting with national GPCI: (15.02 + 20.24 + 1.21) × $33.4009 ≈ $1,218.13. The same code in a facility setting pays about $1,218.13 because facility PE RVU (20.24) replaces office PE RVU.
What changes by locality
GPCI moves 67450 non-facility payment from $1,103.21 to $1,553.37 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 67450?
15.02. 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 67450 in 2026?
About $1,218.13 non-facility ($1,218.13 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 (15.02) and malpractice RVU stay fixed; only practice expense changes (20.24 office vs 20.24 facility). That is the entire office-vs-facility payment gap.