CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 20957 RVU and Medicare Payment (2026)
Mt bone graft microvasc — 41.54 work RVU, about $2,456.3 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 41.54
- PE RVU (non-facility)
- 23.14
- PE RVU (facility)
- 23.14
- MP RVU
- 8.86
- Office payment
- $2,456.3
- Facility payment
- $2,456.3
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 20957 in a non-facility setting with national GPCI: (41.54 + 23.14 + 8.86) × $33.4009 ≈ $2,456.3. The same code in a facility setting pays about $2,456.3 because facility PE RVU (23.14) replaces office PE RVU.
What changes by locality
GPCI moves 20957 non-facility payment from $2,203.8 to $3,067.4 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 20957?
41.54. 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 20957 in 2026?
About $2,456.3 non-facility ($2,456.3 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 (41.54) and malpractice RVU stay fixed; only practice expense changes (23.14 office vs 23.14 facility). That is the entire office-vs-facility payment gap.