CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 25270 RVU and Medicare Payment (2026)
Repair forearm tendon/muscle — 6.02 work RVU, about $470.95 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 6.02
- PE RVU (non-facility)
- 6.89
- PE RVU (facility)
- 6.89
- MP RVU
- 1.19
- Office payment
- $470.95
- Facility payment
- $470.95
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 25270 in a non-facility setting with national GPCI: (6.02 + 6.89 + 1.19) × $33.4009 ≈ $470.95. The same code in a facility setting pays about $470.95 because facility PE RVU (6.89) replaces office PE RVU.
What changes by locality
GPCI moves 25270 non-facility payment from $419.23 to $576.35 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 25270?
6.02. 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 25270 in 2026?
About $470.95 non-facility ($470.95 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 (6.02) and malpractice RVU stay fixed; only practice expense changes (6.89 office vs 6.89 facility). That is the entire office-vs-facility payment gap.