CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 69505 RVU and Medicare Payment (2026)
Remove mastoid structures — 12.84 work RVU, about $1,128.28 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 12.84
- PE RVU (non-facility)
- 19.07
- PE RVU (facility)
- 19.07
- MP RVU
- 1.87
- Office payment
- $1,128.28
- Facility payment
- $1,128.28
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 69505 in a non-facility setting with national GPCI: (12.84 + 19.07 + 1.87) × $33.4009 ≈ $1,128.28. The same code in a facility setting pays about $1,128.28 because facility PE RVU (19.07) replaces office PE RVU.
What changes by locality
GPCI moves 69505 non-facility payment from $1,008.18 to $1,428.01 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 69505?
12.84. 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 69505 in 2026?
About $1,128.28 non-facility ($1,128.28 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 (12.84) and malpractice RVU stay fixed; only practice expense changes (19.07 office vs 19.07 facility). That is the entire office-vs-facility payment gap.