CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 23031 RVU and Medicare Payment (2026)
I&d shoulder infected bursa — 2.72 work RVU, about $464.94 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 2.72
- PE RVU (non-facility)
- 10.63
- PE RVU (facility)
- 3.17
- MP RVU
- 0.57
- Office payment
- $464.94
- Facility payment
- $215.77
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 23031 in a non-facility setting with national GPCI: (2.72 + 10.63 + 0.57) × $33.4009 ≈ $464.94. The same code in a facility setting pays about $215.77 because facility PE RVU (3.17) replaces office PE RVU.
What changes by locality
GPCI moves 23031 non-facility payment from $405.64 to $623.03 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 23031?
2.72. 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 23031 in 2026?
About $464.94 non-facility ($215.77 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 (2.72) and malpractice RVU stay fixed; only practice expense changes (10.63 office vs 3.17 facility). That is the entire office-vs-facility payment gap.