CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 23491 RVU and Medicare Payment (2026)
Reinforce shoulder bones — 14.18 work RVU, about $937.56 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 14.18
- PE RVU (non-facility)
- 10.87
- PE RVU (facility)
- 10.87
- MP RVU
- 3.02
- Office payment
- $937.56
- Facility payment
- $937.56
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 23491 in a non-facility setting with national GPCI: (14.18 + 10.87 + 3.02) × $33.4009 ≈ $937.56. The same code in a facility setting pays about $937.56 because facility PE RVU (10.87) replaces office PE RVU.
What changes by locality
GPCI moves 23491 non-facility payment from $837.45 to $1,152.68 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 23491?
14.18. 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 23491 in 2026?
About $937.56 non-facility ($937.56 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 (14.18) and malpractice RVU stay fixed; only practice expense changes (10.87 office vs 10.87 facility). That is the entire office-vs-facility payment gap.