Home › CPT Codes › CPT 0509T

CPT 0509T — Pattern erg w/i&r

CPT code 0509T (Pattern erg w/i&r) carries 0.39 work RVUs under the CMS 2026 Medicare Physician Fee Schedule. Total RVUs are 2.33 in a non-facility setting and 2.33 in a facility setting, which at the 2026 conversion factor of $33.40 works out to $77.82 and $77.82 respectively.

0.39
Work RVU
2.33
Total RVU (non-facility)
$77.82
Medicare, non-facility
$77.82
Medicare, facility
Calculate your total wRVUs →

RVU breakdown for CPT 0509T

ComponentRVUsWhat it covers
Work RVU0.39Physician time, skill, effort, and stress.
Practice expense RVU (non-facility)1.92Office overhead, staff, supplies.
Practice expense RVU (facility)1.92Overhead when performed in a hospital.
Malpractice RVU0.0Professional liability cost.
Total RVU (non-facility)2.33Work + non-facility PE + malpractice.
Total RVU (facility)2.33Work + facility PE + malpractice.

Professional and technical components

CPT 0509T can be split into professional (modifier 26) and technical (modifier TC) components.

ComponentWork RVUTotal RVU (non-fac)Total RVU (fac)
Modifier 260.390.630.63
Modifier TC0.01.71.7

How Medicare payment is calculated

Medicare multiplies total RVUs by the annual conversion factor. For CPT 0509T in 2026:

SettingTotal RVUConversion factorNational payment
Non-facility2.33$33.40$77.82
Facility2.33$33.40$77.82

These are national amounts. Actual payment is adjusted by the Geographic Practice Cost Index for your locality — check yours with the GPCI lookup.

Billing rules for CPT 0509T

Global period
Global concept does not apply to this code.
Multiple procedure reduction
Subject to the diagnostic ophthalmology multiple-procedure reduction.
Bilateral surgery
RVUs already reflect the bilateral procedure; no further adjustment.
Assistant surgeon
Not permitted unless documentation supports medical necessity.
Co-surgeon
Not permitted unless documentation supports medical necessity.
Team surgery
Not permitted unless documentation supports medical necessity.

Questions about CPT 0509T

How many work RVUs is CPT 0509T?

CPT 0509T is assigned 0.39 work RVUs in the CMS 2026 Medicare Physician Fee Schedule.

What does Medicare pay for CPT 0509T?

At the 2026 national conversion factor of $33.40, CPT 0509T pays approximately $77.82 in a non-facility setting and $77.82 in a facility setting before geographic adjustment.

What is the global period for CPT 0509T?

Global concept does not apply to this code.

RVU values reflect the CMS 2026 Medicare Physician Fee Schedule (conversion factor $33.40). Payment figures are national and unadjusted for geography. Verify against the official fee schedule before using for billing.