CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 11047 RVU and Medicare Payment (2026)
Dbrdmt bone each addl — 1.76 work RVU, about $128.59 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 1.76
- PE RVU (non-facility)
- 1.74
- PE RVU (facility)
- 0.44
- MP RVU
- 0.35
- Office payment
- $128.59
- Facility payment
- $85.17
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 11047 in a non-facility setting with national GPCI: (1.76 + 1.74 + 0.35) × $33.4009 ≈ $128.59. The same code in a facility setting pays about $85.17 because facility PE RVU (0.44) replaces office PE RVU.
What changes by locality
GPCI moves 11047 non-facility payment from $114.73 to $156.51 across CMS localities — from Arkansas to Alaska. 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 11047?
1.76. 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 11047 in 2026?
About $128.59 non-facility ($85.17 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 (1.76) and malpractice RVU stay fixed; only practice expense changes (1.74 office vs 0.44 facility). That is the entire office-vs-facility payment gap.