CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 69641 RVU and Medicare Payment (2026)
Revise middle ear & mastoid — 12.57 work RVU, about $928.21 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 12.57
- PE RVU (non-facility)
- 13.37
- PE RVU (facility)
- 13.37
- MP RVU
- 1.85
- Office payment
- $928.21
- Facility payment
- $928.21
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 69641 in a non-facility setting with national GPCI: (12.57 + 13.37 + 1.85) × $33.4009 ≈ $928.21. The same code in a facility setting pays about $928.21 because facility PE RVU (13.37) replaces office PE RVU.
What changes by locality
GPCI moves 69641 non-facility payment from $835.28 to $1,143.11 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 69641?
12.57. 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 69641 in 2026?
About $928.21 non-facility ($928.21 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 (12.57) and malpractice RVU stay fixed; only practice expense changes (13.37 office vs 13.37 facility). That is the entire office-vs-facility payment gap.