CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 69550 RVU and Medicare Payment (2026)
Exc aurl glomus tum trnscanl — 10.87 work RVU, about $978.98 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 10.87
- PE RVU (non-facility)
- 16.86
- PE RVU (facility)
- 16.86
- MP RVU
- 1.58
- Office payment
- $978.98
- Facility payment
- $978.98
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 69550 in a non-facility setting with national GPCI: (10.87 + 16.86 + 1.58) × $33.4009 ≈ $978.98. The same code in a facility setting pays about $978.98 because facility PE RVU (16.86) replaces office PE RVU.
What changes by locality
GPCI moves 69550 non-facility payment from $873.98 to $1,243.34 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 69550?
10.87. 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 69550 in 2026?
About $978.98 non-facility ($978.98 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 (10.87) and malpractice RVU stay fixed; only practice expense changes (16.86 office vs 16.86 facility). That is the entire office-vs-facility payment gap.