CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 25075 RVU and Medicare Payment (2026)
Exc forearm les sc < 3 cm — 3.86 work RVU, about $552.45 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 3.86
- PE RVU (non-facility)
- 11.87
- PE RVU (facility)
- 4.51
- MP RVU
- 0.81
- Office payment
- $552.45
- Facility payment
- $306.62
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 25075 in a non-facility setting with national GPCI: (3.86 + 11.87 + 0.81) × $33.4009 ≈ $552.45. The same code in a facility setting pays about $306.62 because facility PE RVU (4.51) replaces office PE RVU.
What changes by locality
GPCI moves 25075 non-facility payment from $483.43 to $729.32 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 25075?
3.86. 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 25075 in 2026?
About $552.45 non-facility ($306.62 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 (3.86) and malpractice RVU stay fixed; only practice expense changes (11.87 office vs 4.51 facility). That is the entire office-vs-facility payment gap.