CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 68360 RVU and Medicare Payment (2026)
Revise eyelid lining — 5.04 work RVU, about $546.44 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 5.04
- PE RVU (non-facility)
- 10.92
- PE RVU (facility)
- 5.19
- MP RVU
- 0.4
- Office payment
- $546.44
- Facility payment
- $355.05
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 68360 in a non-facility setting with national GPCI: (5.04 + 10.92 + 0.4) × $33.4009 ≈ $546.44. The same code in a facility setting pays about $355.05 because facility PE RVU (5.19) replaces office PE RVU.
What changes by locality
GPCI moves 68360 non-facility payment from $488.53 to $719.97 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 68360?
5.04. 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 68360 in 2026?
About $546.44 non-facility ($355.05 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 (5.04) and malpractice RVU stay fixed; only practice expense changes (10.92 office vs 5.19 facility). That is the entire office-vs-facility payment gap.