CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 67901 RVU and Medicare Payment (2026)
Repair eyelid defect — 7.4 work RVU, about $793.61 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 7.4
- PE RVU (non-facility)
- 15.74
- PE RVU (facility)
- 7.02
- MP RVU
- 0.62
- Office payment
- $793.61
- Facility payment
- $502.35
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 67901 in a non-facility setting with national GPCI: (7.4 + 15.74 + 0.62) × $33.4009 ≈ $793.61. The same code in a facility setting pays about $502.35 because facility PE RVU (7.02) replaces office PE RVU.
What changes by locality
GPCI moves 67901 non-facility payment from $709.43 to $1,043.56 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 67901?
7.4. 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 67901 in 2026?
About $793.61 non-facility ($502.35 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 (7.4) and malpractice RVU stay fixed; only practice expense changes (15.74 office vs 7.02 facility). That is the entire office-vs-facility payment gap.