CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 69145 RVU and Medicare Payment (2026)
Remove ear canal lesion(s) — 2.63 work RVU, about $404.82 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 2.63
- PE RVU (non-facility)
- 9.1
- PE RVU (facility)
- 4.08
- MP RVU
- 0.39
- Office payment
- $404.82
- Facility payment
- $237.15
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 69145 in a non-facility setting with national GPCI: (2.63 + 9.1 + 0.39) × $33.4009 ≈ $404.82. The same code in a facility setting pays about $237.15 because facility PE RVU (4.08) replaces office PE RVU.
What changes by locality
GPCI moves 69145 non-facility payment from $355.64 to $542.78 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 69145?
2.63. 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 69145 in 2026?
About $404.82 non-facility ($237.15 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 (2.63) and malpractice RVU stay fixed; only practice expense changes (9.1 office vs 4.08 facility). That is the entire office-vs-facility payment gap.