CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 25076 RVU and Medicare Payment (2026)
Exc forearm tum deep < 3 cm — 6.57 work RVU, about $490.99 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 6.57
- PE RVU (non-facility)
- 6.83
- PE RVU (facility)
- 6.83
- MP RVU
- 1.3
- Office payment
- $490.99
- Facility payment
- $490.99
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 25076 in a non-facility setting with national GPCI: (6.57 + 6.83 + 1.3) × $33.4009 ≈ $490.99. The same code in a facility setting pays about $490.99 because facility PE RVU (6.83) replaces office PE RVU.
What changes by locality
GPCI moves 25076 non-facility payment from $437.77 to $596.05 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 25076?
6.57. 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 25076 in 2026?
About $490.99 non-facility ($490.99 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 (6.57) and malpractice RVU stay fixed; only practice expense changes (6.83 office vs 6.83 facility). That is the entire office-vs-facility payment gap.