CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 20611 RVU and Medicare Payment (2026)
Drain/inj joint/bursa w/us — 1.07 work RVU, about $104.21 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 1.07
- PE RVU (non-facility)
- 1.91
- PE RVU (facility)
- 0.29
- MP RVU
- 0.14
- Office payment
- $104.21
- Facility payment
- $50.1
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 20611 in a non-facility setting with national GPCI: (1.07 + 1.91 + 0.14) × $33.4009 ≈ $104.21. The same code in a facility setting pays about $50.1 because facility PE RVU (0.29) replaces office PE RVU.
What changes by locality
GPCI moves 20611 non-facility payment from $92.95 to $134.17 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 20611?
1.07. 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 20611 in 2026?
About $104.21 non-facility ($50.1 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 (1.07) and malpractice RVU stay fixed; only practice expense changes (1.91 office vs 0.29 facility). That is the entire office-vs-facility payment gap.