CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 92316 RVU and Medicare Payment (2026)
C-lens fitg tech aphakia ou — 0.66 work RVU, about $97.86 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 0.66
- PE RVU (non-facility)
- 2.26
- PE RVU (facility)
- 0.12
- MP RVU
- 0.01
- Office payment
- $97.86
- Facility payment
- $26.39
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 92316 in a non-facility setting with national GPCI: (0.66 + 2.26 + 0.01) × $33.4009 ≈ $97.86. The same code in a facility setting pays about $26.39 because facility PE RVU (0.12) replaces office PE RVU.
What changes by locality
GPCI moves 92316 non-facility payment from $87.06 to $133.5 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 92316?
0.66. 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 92316 in 2026?
About $97.86 non-facility ($26.39 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 (0.66) and malpractice RVU stay fixed; only practice expense changes (2.26 office vs 0.12 facility). That is the entire office-vs-facility payment gap.