CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 17276 RVU and Medicare Payment (2026)
Dstr mal les s/n/h/f/g >4.0 — 3.17 work RVU, about $279.23 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 3.17
- PE RVU (non-facility)
- 4.85
- PE RVU (facility)
- 1.51
- MP RVU
- 0.34
- Office payment
- $279.23
- Facility payment
- $167.67
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 17276 in a non-facility setting with national GPCI: (3.17 + 4.85 + 0.34) × $33.4009 ≈ $279.23. The same code in a facility setting pays about $167.67 because facility PE RVU (1.51) replaces office PE RVU.
What changes by locality
GPCI moves 17276 non-facility payment from $250.88 to $357.21 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 17276?
3.17. 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 17276 in 2026?
About $279.23 non-facility ($167.67 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 (3.17) and malpractice RVU stay fixed; only practice expense changes (4.85 office vs 1.51 facility). That is the entire office-vs-facility payment gap.