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CPT 65114 RVU Values & Medicare Payment 2026

Remove eye/revise socket

Code-level payment context

review the code record, calculate payment with fixed assumptions, compare locality or setting effects, and route into benchmark review when needed.

Input
CPT 65114, setting, participant status, and locality
Source basis
CMS 2026 CPT/HCPCS RVU components, typical setting, 2026 conversion factor assumption, GPCI locality examples, and related-code mapping.
Result boundary
The page does not validate code selection, payer-specific edits, modifier rules, or documentation support.
RVU payment profile

CPT 65114 is calculated with its CMS 2026 RVU components, the National Average GPCI locality, the non-facility practice expense setting, and the non-QPP conversion factor.

wRVU
19.16
Total RVU
40.69
Medicare payment
$1,359.08

CPT 65114 setting and related-code comparison

Compare the same CPT under both PE settings, then review adjacent codes using National Average GPCI and the selected 2026 conversion factor.

SettingWork RVUPE RVUMP RVUTotal RVUPayment
Non-facility19.1620.021.5140.69$1,359.08
Facility19.1620.021.5140.69$1,359.08
Setting note: CPT 65114 keeps the same work RVU across this comparison, while practice expense RVU changes from 20.02 non-facility PE RVU to 20.02 facility PE RVU. Use one setting consistently when comparing localities or adjacent CPT codes.
Related CPTDescriptorwRVUTypical settingNational payment
CPT 65110Removal of eye15.31Non-facility$1,145.98
CPT 65112Remove eye/revise socket18.05Non-facility$1,306.64
CPT 65125Revise ocular implant3.19Non-facility$455.59
CPT 65130Insert ocular implant8.21Non-facility$761.54
CPT 99214Office o/p est mod 30 min1.92Non-facility$135.61

CPT RVU and Medicare payment calculator

Search a CPT code, choose geography and participation status, then review work RVU, PE RVU, MP RVU, total RVU, and estimated Medicare payment. Use work RVU for productivity context and total RVU for Medicare payment estimates.

Inputs
01
Setting
Conversion factor
Results
02
Estimated Medicare payment
$1,359.08

40.69 total RVU in National Average, National.

wRVU
19.16
PE RVU
20.02
MP RVU
1.51
Total RVU
40.69
Non-QPP
$1,359.08
QPP
$1,365.86
QPP delta
$6.78
How to use this result
  • Payment estimate: use total RVU and non-QPP $33.4009 for Medicare payment review.
  • Productivity review: use work RVU separately; total RVU is not a physician productivity target.
  • Before relying on it: confirm office / non-facility, National Average, and payer-specific billing rules.
Review
03
Calculation formula

Total RVU = work RVU x GPCI work + PE RVU x GPCI PE + MP RVU x GPCI MP. Payment = total RVU x selected 2026 conversion factor. Non-QPP uses $33.4009 and QPP uses $33.5675.

Selected calculation assumptions
CPT
65114
Setting
office / non-facility
Conversion factor
non-QPP $33.4009
Work GPCI
1.000
PE GPCI
1.000
MP GPCI
1.000
Professional use
Source-aware calculation path

Keep this CPT, setting, locality, and conversion factor fixed when moving into geography, contract, or benchmark review.

Next tool action
Next CPT checks
Related CPT codes
Same specialty checks
Try nearby specialty codes without leaving the calculator
CPT 65114: 40.69 total RVU, $1,359.08 Medicare payment (National Average, NON-QPP)

Payment by representative localities

LocalitywRVUTotal RVUMedicare Payment
National: National Average19.1640.69$1,359.08
California: San Francisco19.1647.29$1,579.62
California: Los Angeles19.1644.58$1,489.03
New York: Manhattan19.1646.04$1,537.92
New York: Rest of New York19.1642.68$1,425.54
Texas: Dallas19.1640.57$1,355.01
Texas: Houston19.1641.27$1,378.49
Florida: Miami19.1643.82$1,463.61

CPT 65114 code profile

CMS 2026 Physician Fee Schedule inputs for this CPT/HCPCS code, including the site-of-service assumption used for the payment examples on this page.

Descriptor

Remove eye/revise socket

Work RVU
19.16
PE RVU
20.02
MP RVU
1.51
Typical setting
Office / non-facility
Specialty mapping
Plastic Surgery
Related codes
65110, 65112, 65125, 65130, 99214
Interpretation notes

RVU components are payment inputs, not clinical coding guidance. Confirm code selection, modifiers, payer policy, and documentation requirements through the official CMS source files or billing review. Locality-adjusted estimates should be interpreted with the selected setting, GPCI locality, and QPP status held constant.

CPT FAQ

Common RVU and payment questions for CPT 65114.

What is the wRVU for CPT 65114?

The imported CMS 2026 Physician Fee Schedule source files list 19.16 work RVU for CPT 65114.

What is the national payment estimate for CPT 65114?

Using national GPCI and the 2026 non-QPP conversion factor, the estimate is $1,359.08.

Does locality change the payment?

Yes. GPCI values adjust work, practice expense, and malpractice components by geography.