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CPT 67500 RVU Values & Medicare Payment 2026

Inject/treat eye 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 67500, 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.

Compare locality impactKeep the code fixed and change geography only.Next action Check specialty benchmarkUse wRVU context after the code-level payment review.Next action

RVU payment profile

CPT 67500 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

1.15

Total RVU

2.36

Medicare payment

$78.83

CPT 67500 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.

Setting	Work RVU	PE RVU	MP RVU	Total RVU	Payment
Non-facility	1.15	1.13	0.08	2.36	$78.83
Facility	1.15	0.42	0.08	1.65	$55.11

Setting note: CPT 67500 keeps the same work RVU across this comparison, while practice expense RVU changes from 1.13 non-facility PE RVU to 0.42 facility PE RVU. Use one setting consistently when comparing localities or adjacent CPT codes.

Related CPT	Descriptor	wRVU	Typical setting	National payment
CPT 67445	Explr/decompress eye socket	18.64	Non-facility	$1,311.65
CPT 67450	Explore/biopsy eye socket	15.02	Non-facility	$1,218.13
CPT 67505	Inject/treat eye socket	1.15	Non-facility	$84.84
CPT 67515	Inject/treat eye socket	0.73	Non-facility	$51.77
CPT 99214	Office o/p est mod 30 min	1.92	Non-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

CPT code or keyword

GPCI locality

Setting

Conversion factor

Results

Estimated Medicare payment

$78.83

2.36 total RVU in National Average, National.

wRVU

1.15

PE RVU

1.13

MP RVU

0.08

Total RVU

2.36

Non-QPP

$78.83

QPP

$79.22

QPP delta

$0.39

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

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: 67500
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

Compare GPCI Review contract Check benchmark

Next CPT checks

Related CPT codes

67445 67450 67505 67515 99214

Same specialty checks

Try nearby specialty codes without leaving the calculator

CPT 67500: 2.36 total RVU, $78.83 Medicare payment (National Average, NON-QPP)

Payment by representative localities

Locality	wRVU	Total RVU	Medicare Payment
National: National Average	1.15	2.36	$78.83
California: San Francisco	1.15	2.74	$91.45
California: Los Angeles	1.15	2.58	$86.28
New York: Manhattan	1.15	2.66	$88.96
New York: Rest of New York	1.15	2.47	$82.58
Texas: Dallas	1.15	2.35	$78.64
Texas: Houston	1.15	2.39	$79.87
Florida: Miami	1.15	2.53	$84.46

CPT 67500 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

Inject/treat eye socket

Work RVU

1.15

PE RVU

1.13

MP RVU

0.08

Typical setting: Office / non-facility
Specialty mapping: Rheumatology
Related codes: 67445, 67450, 67505, 67515, 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.

Rheumatology benchmarks CPT 67445 CPT 67450 CPT 67505 CPT 67515 CPT 99214

CPT FAQ

Common RVU and payment questions for CPT 67500.

What is the wRVU for CPT 67500?

The imported CMS 2026 Physician Fee Schedule source files list 1.15 work RVU for CPT 67500.

What is the national payment estimate for CPT 67500?

Using national GPCI and the 2026 non-QPP conversion factor, the estimate is $78.83.

Does locality change the payment?

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