CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 17272 RVU and Medicare Payment (2026)
Dstr mal les s/n/h/f/g 1.1-2 — 1.77 work RVU, about $183.37 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 1.77
- PE RVU (non-facility)
- 3.54
- PE RVU (facility)
- 1.09
- MP RVU
- 0.18
- Office payment
- $183.37
- Facility payment
- $101.54
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 17272 in a non-facility setting with national GPCI: (1.77 + 3.54 + 0.18) × $33.4009 ≈ $183.37. The same code in a facility setting pays about $101.54 because facility PE RVU (1.09) replaces office PE RVU.
What changes by locality
GPCI moves 17272 non-facility payment from $163.78 to $239.35 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 17272?
1.77. 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 17272 in 2026?
About $183.37 non-facility ($101.54 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 (1.77) and malpractice RVU stay fixed; only practice expense changes (3.54 office vs 1.09 facility). That is the entire office-vs-facility payment gap.