CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 69646 RVU and Medicare Payment (2026)
Revise middle ear & mastoid — 17.91 work RVU, about $1,431.23 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 17.91
- PE RVU (non-facility)
- 22.21
- PE RVU (facility)
- 22.21
- MP RVU
- 2.73
- Office payment
- $1,431.23
- Facility payment
- $1,431.23
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 69646 in a non-facility setting with national GPCI: (17.91 + 22.21 + 2.73) × $33.4009 ≈ $1,431.23. The same code in a facility setting pays about $1,431.23 because facility PE RVU (22.21) replaces office PE RVU.
What changes by locality
GPCI moves 69646 non-facility payment from $1,282.41 to $1,782.61 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 69646?
17.91. 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 69646 in 2026?
About $1,431.23 non-facility ($1,431.23 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 (17.91) and malpractice RVU stay fixed; only practice expense changes (22.21 office vs 22.21 facility). That is the entire office-vs-facility payment gap.