CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 69502 RVU and Medicare Payment (2026)
Mastoidectomy — 12.25 work RVU, about $840.37 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 12.25
- PE RVU (non-facility)
- 11.11
- PE RVU (facility)
- 11.11
- MP RVU
- 1.8
- Office payment
- $840.37
- Facility payment
- $840.37
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 69502 in a non-facility setting with national GPCI: (12.25 + 11.11 + 1.8) × $33.4009 ≈ $840.37. The same code in a facility setting pays about $840.37 because facility PE RVU (11.11) replaces office PE RVU.
What changes by locality
GPCI moves 69502 non-facility payment from $758.88 to $1,042.07 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 69502?
12.25. 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 69502 in 2026?
About $840.37 non-facility ($840.37 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 (12.25) and malpractice RVU stay fixed; only practice expense changes (11.11 office vs 11.11 facility). That is the entire office-vs-facility payment gap.