CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 69501 RVU and Medicare Payment (2026)
Mastoidectomy — 8.98 work RVU, about $635.62 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 8.98
- PE RVU (non-facility)
- 8.74
- PE RVU (facility)
- 8.74
- MP RVU
- 1.31
- Office payment
- $635.62
- Facility payment
- $635.62
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 69501 in a non-facility setting with national GPCI: (8.98 + 8.74 + 1.31) × $33.4009 ≈ $635.62. The same code in a facility setting pays about $635.62 because facility PE RVU (8.74) replaces office PE RVU.
What changes by locality
GPCI moves 69501 non-facility payment from $573.24 to $784.92 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 69501?
8.98. 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 69501 in 2026?
About $635.62 non-facility ($635.62 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 (8.98) and malpractice RVU stay fixed; only practice expense changes (8.74 office vs 8.74 facility). That is the entire office-vs-facility payment gap.