CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 20955 RVU and Medicare Payment (2026)
Fibula bone graft microvasc — 39.25 work RVU, about $2,267.92 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 39.25
- PE RVU (non-facility)
- 21.35
- PE RVU (facility)
- 21.35
- MP RVU
- 7.3
- Office payment
- $2,267.92
- Facility payment
- $2,267.92
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 20955 in a non-facility setting with national GPCI: (39.25 + 21.35 + 7.3) × $33.4009 ≈ $2,267.92. The same code in a facility setting pays about $2,267.92 because facility PE RVU (21.35) replaces office PE RVU.
What changes by locality
GPCI moves 20955 non-facility payment from $2,049.12 to $2,860.29 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 20955?
39.25. 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 20955 in 2026?
About $2,267.92 non-facility ($2,267.92 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 (39.25) and malpractice RVU stay fixed; only practice expense changes (21.35 office vs 21.35 facility). That is the entire office-vs-facility payment gap.