CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 69535 RVU and Medicare Payment (2026)
Remove part of temporal bone — 36.48 work RVU, about $2,363.78 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 36.48
- PE RVU (non-facility)
- 28.98
- PE RVU (facility)
- 28.98
- MP RVU
- 5.31
- Office payment
- $2,363.78
- Facility payment
- $2,363.78
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 69535 in a non-facility setting with national GPCI: (36.48 + 28.98 + 5.31) × $33.4009 ≈ $2,363.78. The same code in a facility setting pays about $2,363.78 because facility PE RVU (28.98) replaces office PE RVU.
What changes by locality
GPCI moves 69535 non-facility payment from $2,141.28 to $2,956.3 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 69535?
36.48. 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 69535 in 2026?
About $2,363.78 non-facility ($2,363.78 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 (36.48) and malpractice RVU stay fixed; only practice expense changes (28.98 office vs 28.98 facility). That is the entire office-vs-facility payment gap.