CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 11044 RVU and Medicare Payment (2026)
Dbrdmt bone 1st 20 sq cm/ — 4 work RVU, about $320.65 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 4
- PE RVU (non-facility)
- 4.96
- PE RVU (facility)
- 1.38
- MP RVU
- 0.64
- Office payment
- $320.65
- Facility payment
- $201.07
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 11044 in a non-facility setting with national GPCI: (4 + 4.96 + 0.64) × $33.4009 ≈ $320.65. The same code in a facility setting pays about $201.07 because facility PE RVU (1.38) replaces office PE RVU.
What changes by locality
GPCI moves 11044 non-facility payment from $286.92 to $398.65 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 11044?
4. 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 11044 in 2026?
About $320.65 non-facility ($201.07 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) and malpractice RVU stay fixed; only practice expense changes (4.96 office vs 1.38 facility). That is the entire office-vs-facility payment gap.