CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 67975 RVU and Medicare Payment (2026)
Reconstruction of eyelid — 9.12 work RVU, about $578.5 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 9.12
- PE RVU (non-facility)
- 7.41
- PE RVU (facility)
- 7.41
- MP RVU
- 0.79
- Office payment
- $578.5
- Facility payment
- $578.5
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 67975 in a non-facility setting with national GPCI: (9.12 + 7.41 + 0.79) × $33.4009 ≈ $578.5. The same code in a facility setting pays about $578.5 because facility PE RVU (7.41) replaces office PE RVU.
What changes by locality
GPCI moves 67975 non-facility payment from $530.81 to $735.05 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 67975?
9.12. 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 67975 in 2026?
About $578.5 non-facility ($578.5 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 (9.12) and malpractice RVU stay fixed; only practice expense changes (7.41 office vs 7.41 facility). That is the entire office-vs-facility payment gap.