CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 25444 RVU and Medicare Payment (2026)
Arthrp w/prostc lunate — 11.13 work RVU, about $759.54 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 11.13
- PE RVU (non-facility)
- 9.46
- PE RVU (facility)
- 9.46
- MP RVU
- 2.15
- Office payment
- $759.54
- Facility payment
- $759.54
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 25444 in a non-facility setting with national GPCI: (11.13 + 9.46 + 2.15) × $33.4009 ≈ $759.54. The same code in a facility setting pays about $759.54 because facility PE RVU (9.46) replaces office PE RVU.
What changes by locality
GPCI moves 25444 non-facility payment from $680.16 to $933.71 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 25444?
11.13. 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 25444 in 2026?
About $759.54 non-facility ($759.54 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 (11.13) and malpractice RVU stay fixed; only practice expense changes (9.46 office vs 9.46 facility). That is the entire office-vs-facility payment gap.