CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 67850 RVU and Medicare Payment (2026)
Dstrj lesion lid margin — 1.7 work RVU, about $209.76 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 1.7
- PE RVU (non-facility)
- 4.43
- PE RVU (facility)
- 1.52
- MP RVU
- 0.15
- Office payment
- $209.76
- Facility payment
- $112.56
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 67850 in a non-facility setting with national GPCI: (1.7 + 4.43 + 0.15) × $33.4009 ≈ $209.76. The same code in a facility setting pays about $112.56 because facility PE RVU (1.52) replaces office PE RVU.
What changes by locality
GPCI moves 67850 non-facility payment from $186.46 to $279.08 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 67850?
1.7. 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 67850 in 2026?
About $209.76 non-facility ($112.56 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 (1.7) and malpractice RVU stay fixed; only practice expense changes (4.43 office vs 1.52 facility). That is the entire office-vs-facility payment gap.