CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 67971 RVU and Medicare Payment (2026)
Reconstruction of eyelid — 9.76 work RVU, about $607.56 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 9.76
- PE RVU (non-facility)
- 7.62
- PE RVU (facility)
- 7.62
- MP RVU
- 0.81
- Office payment
- $607.56
- Facility payment
- $607.56
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 67971 in a non-facility setting with national GPCI: (9.76 + 7.62 + 0.81) × $33.4009 ≈ $607.56. The same code in a facility setting pays about $607.56 because facility PE RVU (7.62) replaces office PE RVU.
What changes by locality
GPCI moves 67971 non-facility payment from $558.55 to $774.95 across CMS localities — from Arkansas to Alaska. 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 67971?
9.76. 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 67971 in 2026?
About $607.56 non-facility ($607.56 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 (9.76) and malpractice RVU stay fixed; only practice expense changes (7.62 office vs 7.62 facility). That is the entire office-vs-facility payment gap.