CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 25337 RVU and Medicare Payment (2026)
Reconstruct ulna/radioulnar — 11.44 work RVU, about $828.34 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 11.44
- PE RVU (non-facility)
- 11.17
- PE RVU (facility)
- 11.17
- MP RVU
- 2.19
- Office payment
- $828.34
- Facility payment
- $828.34
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 25337 in a non-facility setting with national GPCI: (11.44 + 11.17 + 2.19) × $33.4009 ≈ $828.34. The same code in a facility setting pays about $828.34 because facility PE RVU (11.17) replaces office PE RVU.
What changes by locality
GPCI moves 25337 non-facility payment from $740.26 to $1,010.8 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 25337?
11.44. 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 25337 in 2026?
About $828.34 non-facility ($828.34 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 (11.44) and malpractice RVU stay fixed; only practice expense changes (11.17 office vs 11.17 facility). That is the entire office-vs-facility payment gap.