CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31

CPT 69705 RVU and Medicare Payment (2026)

Nps surg dilat eust tube uni — 2.93 work RVU, about $2,569.87 non-facility Medicare payment at the 2026 conversion factor.

Work RVU
2.93
PE RVU (non-facility)
73.58
PE RVU (facility)
1.08
MP RVU
0.43
Office payment
$2,569.87
Facility payment
$148.3

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 69705 in a non-facility setting with national GPCI: (2.93 + 73.58 + 0.43) × $33.4009 ≈ $2,569.87. The same code in a facility setting pays about $148.3 because facility PE RVU (1.08) replaces office PE RVU.

What changes by locality

GPCI moves 69705 non-facility payment from $2,216.37 to $3,660.24 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 69705?

2.93. 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 69705 in 2026?

About $2,569.87 non-facility ($148.3 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 (2.93) and malpractice RVU stay fixed; only practice expense changes (73.58 office vs 1.08 facility). That is the entire office-vs-facility payment gap.