CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 20650 RVU and Medicare Payment (2026)
Insert and remove bone pin — 2.22 work RVU, about $249.5 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 2.22
- PE RVU (non-facility)
- 4.87
- PE RVU (facility)
- 2.19
- MP RVU
- 0.38
- Office payment
- $249.5
- Facility payment
- $159.99
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 20650 in a non-facility setting with national GPCI: (2.22 + 4.87 + 0.38) × $33.4009 ≈ $249.5. The same code in a facility setting pays about $159.99 because facility PE RVU (2.19) replaces office PE RVU.
What changes by locality
GPCI moves 20650 non-facility payment from $220.41 to $323.67 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 20650?
2.22. 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 20650 in 2026?
About $249.5 non-facility ($159.99 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 (2.22) and malpractice RVU stay fixed; only practice expense changes (4.87 office vs 2.19 facility). That is the entire office-vs-facility payment gap.