CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 25316 RVU and Medicare Payment (2026)
Revise palsy hand tendon(s) — 12.58 work RVU, about $850.72 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 12.58
- PE RVU (non-facility)
- 10.21
- PE RVU (facility)
- 10.21
- MP RVU
- 2.68
- Office payment
- $850.72
- Facility payment
- $850.72
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 25316 in a non-facility setting with national GPCI: (12.58 + 10.21 + 2.68) × $33.4009 ≈ $850.72. The same code in a facility setting pays about $850.72 because facility PE RVU (10.21) replaces office PE RVU.
What changes by locality
GPCI moves 25316 non-facility payment from $759.22 to $1,042.79 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 25316?
12.58. 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 25316 in 2026?
About $850.72 non-facility ($850.72 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 (12.58) and malpractice RVU stay fixed; only practice expense changes (10.21 office vs 10.21 facility). That is the entire office-vs-facility payment gap.