CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 25450 RVU and Medicare Payment (2026)
Epiphysl arrst dstl rds/ulna — 7.86 work RVU, about $590.19 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 7.86
- PE RVU (non-facility)
- 8.14
- PE RVU (facility)
- 8.14
- MP RVU
- 1.67
- Office payment
- $590.19
- Facility payment
- $590.19
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 25450 in a non-facility setting with national GPCI: (7.86 + 8.14 + 1.67) × $33.4009 ≈ $590.19. The same code in a facility setting pays about $590.19 because facility PE RVU (8.14) replaces office PE RVU.
What changes by locality
GPCI moves 25450 non-facility payment from $524.81 to $714.09 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 25450?
7.86. 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 25450 in 2026?
About $590.19 non-facility ($590.19 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 (7.86) and malpractice RVU stay fixed; only practice expense changes (8.14 office vs 8.14 facility). That is the entire office-vs-facility payment gap.