CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 69554 RVU and Medicare Payment (2026)
Exc aurl glomus tum extended — 35.07 work RVU, about $2,235.19 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 35.07
- PE RVU (non-facility)
- 26.74
- PE RVU (facility)
- 26.74
- MP RVU
- 5.11
- Office payment
- $2,235.19
- Facility payment
- $2,235.19
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 69554 in a non-facility setting with national GPCI: (35.07 + 26.74 + 5.11) × $33.4009 ≈ $2,235.19. The same code in a facility setting pays about $2,235.19 because facility PE RVU (26.74) replaces office PE RVU.
What changes by locality
GPCI moves 69554 non-facility payment from $2,026.48 to $2,802.29 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 69554?
35.07. 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 69554 in 2026?
About $2,235.19 non-facility ($2,235.19 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 (35.07) and malpractice RVU stay fixed; only practice expense changes (26.74 office vs 26.74 facility). That is the entire office-vs-facility payment gap.