CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 69637 RVU and Medicare Payment (2026)
Rebuild eardrum structures — 14.94 work RVU, about $1,284.6 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 14.94
- PE RVU (non-facility)
- 21.34
- PE RVU (facility)
- 21.34
- MP RVU
- 2.18
- Office payment
- $1,284.6
- Facility payment
- $1,284.6
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 69637 in a non-facility setting with national GPCI: (14.94 + 21.34 + 2.18) × $33.4009 ≈ $1,284.6. The same code in a facility setting pays about $1,284.6 because facility PE RVU (21.34) replaces office PE RVU.
What changes by locality
GPCI moves 69637 non-facility payment from $1,148.78 to $1,620.75 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 69637?
14.94. 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 69637 in 2026?
About $1,284.6 non-facility ($1,284.6 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 (14.94) and malpractice RVU stay fixed; only practice expense changes (21.34 office vs 21.34 facility). That is the entire office-vs-facility payment gap.