CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 25492 RVU and Medicare Payment (2026)
Prophylactic tx radius&ulna — 12.34 work RVU, about $843.37 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 12.34
- PE RVU (non-facility)
- 10.29
- PE RVU (facility)
- 10.29
- MP RVU
- 2.62
- Office payment
- $843.37
- Facility payment
- $843.37
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 25492 in a non-facility setting with national GPCI: (12.34 + 10.29 + 2.62) × $33.4009 ≈ $843.37. The same code in a facility setting pays about $843.37 because facility PE RVU (10.29) replaces office PE RVU.
What changes by locality
GPCI moves 25492 non-facility payment from $752.47 to $1,032.5 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 25492?
12.34. 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 25492 in 2026?
About $843.37 non-facility ($843.37 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 (12.34) and malpractice RVU stay fixed; only practice expense changes (10.29 office vs 10.29 facility). That is the entire office-vs-facility payment gap.