CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 20973 RVU and Medicare Payment (2026)
Bone/skin graft great toe — 46.09 work RVU, about $2,670.4 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 46.09
- PE RVU (non-facility)
- 24
- PE RVU (facility)
- 24
- MP RVU
- 9.86
- Office payment
- $2,670.4
- Facility payment
- $2,670.4
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 20973 in a non-facility setting with national GPCI: (46.09 + 24 + 9.86) × $33.4009 ≈ $2,670.4. The same code in a facility setting pays about $2,670.4 because facility PE RVU (24) replaces office PE RVU.
What changes by locality
GPCI moves 20973 non-facility payment from $2,397.65 to $3,344.36 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 20973?
46.09. 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 20973 in 2026?
About $2,670.4 non-facility ($2,670.4 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 (46.09) and malpractice RVU stay fixed; only practice expense changes (24 office vs 24 facility). That is the entire office-vs-facility payment gap.