CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31

CPT 67715 RVU and Medicare Payment (2026)

Canthotomy — 1.24 work RVU, about $274.56 non-facility Medicare payment at the 2026 conversion factor.

Work RVU
1.24
PE RVU (non-facility)
6.8
PE RVU (facility)
1.64
MP RVU
0.18
Office payment
$274.56
Facility payment
$102.21

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 67715 in a non-facility setting with national GPCI: (1.24 + 6.8 + 0.18) × $33.4009 ≈ $274.56. The same code in a facility setting pays about $102.21 because facility PE RVU (1.64) replaces office PE RVU.

What changes by locality

GPCI moves 67715 non-facility payment from $239.61 to $376.71 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 67715?

1.24. 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 67715 in 2026?

About $274.56 non-facility ($102.21 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 (1.24) and malpractice RVU stay fixed; only practice expense changes (6.8 office vs 1.64 facility). That is the entire office-vs-facility payment gap.