CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 25250 RVU and Medicare Payment (2026)
Removal of wrist prosthesis — 6.6 work RVU, about $513.71 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 6.6
- PE RVU (non-facility)
- 7.38
- PE RVU (facility)
- 7.38
- MP RVU
- 1.4
- Office payment
- $513.71
- Facility payment
- $513.71
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 25250 in a non-facility setting with national GPCI: (6.6 + 7.38 + 1.4) × $33.4009 ≈ $513.71. The same code in a facility setting pays about $513.71 because facility PE RVU (7.38) replaces office PE RVU.
What changes by locality
GPCI moves 25250 non-facility payment from $456.27 to $625.21 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 25250?
6.6. 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 25250 in 2026?
About $513.71 non-facility ($513.71 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 (6.6) and malpractice RVU stay fixed; only practice expense changes (7.38 office vs 7.38 facility). That is the entire office-vs-facility payment gap.