CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 24101 RVU and Medicare Payment (2026)
Arthrt elbw jt expl bx rmvl — 6.14 work RVU, about $482.64 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 6.14
- PE RVU (non-facility)
- 7.06
- PE RVU (facility)
- 7.06
- MP RVU
- 1.25
- Office payment
- $482.64
- Facility payment
- $482.64
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 24101 in a non-facility setting with national GPCI: (6.14 + 7.06 + 1.25) × $33.4009 ≈ $482.64. The same code in a facility setting pays about $482.64 because facility PE RVU (7.06) replaces office PE RVU.
What changes by locality
GPCI moves 24101 non-facility payment from $429.14 to $590.06 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 24101?
6.14. 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 24101 in 2026?
About $482.64 non-facility ($482.64 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 (6.14) and malpractice RVU stay fixed; only practice expense changes (7.06 office vs 7.06 facility). That is the entire office-vs-facility payment gap.