CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 69320 RVU and Medicare Payment (2026)
Rebuild outer ear canal — 16.75 work RVU, about $1,426.55 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 16.75
- PE RVU (non-facility)
- 23.52
- PE RVU (facility)
- 23.52
- MP RVU
- 2.44
- Office payment
- $1,426.55
- Facility payment
- $1,426.55
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 69320 in a non-facility setting with national GPCI: (16.75 + 23.52 + 2.44) × $33.4009 ≈ $1,426.55. The same code in a facility setting pays about $1,426.55 because facility PE RVU (23.52) replaces office PE RVU.
What changes by locality
GPCI moves 69320 non-facility payment from $1,276.26 to $1,797.51 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 69320?
16.75. 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 69320 in 2026?
About $1,426.55 non-facility ($1,426.55 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 (16.75) and malpractice RVU stay fixed; only practice expense changes (23.52 office vs 23.52 facility). That is the entire office-vs-facility payment gap.