CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 20962 RVU and Medicare Payment (2026)
Other bone graft microvasc — 38.23 work RVU, about $2,428.25 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 38.23
- PE RVU (non-facility)
- 26.32
- PE RVU (facility)
- 26.32
- MP RVU
- 8.15
- Office payment
- $2,428.25
- Facility payment
- $2,428.25
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 20962 in a non-facility setting with national GPCI: (38.23 + 26.32 + 8.15) × $33.4009 ≈ $2,428.25. The same code in a facility setting pays about $2,428.25 because facility PE RVU (26.32) replaces office PE RVU.
What changes by locality
GPCI moves 20962 non-facility payment from $2,172.27 to $3,001.62 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 20962?
38.23. 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 20962 in 2026?
About $2,428.25 non-facility ($2,428.25 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 (38.23) and malpractice RVU stay fixed; only practice expense changes (26.32 office vs 26.32 facility). That is the entire office-vs-facility payment gap.