CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 11010 RVU and Medicare Payment (2026)
Debride skin at fx site — 4.09 work RVU, about $469.28 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 4.09
- PE RVU (non-facility)
- 9.21
- PE RVU (facility)
- 2.63
- MP RVU
- 0.75
- Office payment
- $469.28
- Facility payment
- $249.5
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 11010 in a non-facility setting with national GPCI: (4.09 + 9.21 + 0.75) × $33.4009 ≈ $469.28. The same code in a facility setting pays about $249.5 because facility PE RVU (2.63) replaces office PE RVU.
What changes by locality
GPCI moves 11010 non-facility payment from $413.76 to $608.66 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 11010?
4.09. 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 11010 in 2026?
About $469.28 non-facility ($249.5 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 (4.09) and malpractice RVU stay fixed; only practice expense changes (9.21 office vs 2.63 facility). That is the entire office-vs-facility payment gap.