CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 25515 RVU and Medicare Payment (2026)
Optx radial shaft fracture — 8.58 work RVU, about $633.95 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 8.58
- PE RVU (non-facility)
- 8.66
- PE RVU (facility)
- 8.66
- MP RVU
- 1.74
- Office payment
- $633.95
- Facility payment
- $633.95
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 25515 in a non-facility setting with national GPCI: (8.58 + 8.66 + 1.74) × $33.4009 ≈ $633.95. The same code in a facility setting pays about $633.95 because facility PE RVU (8.66) replaces office PE RVU.
What changes by locality
GPCI moves 25515 non-facility payment from $564.98 to $769.95 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 25515?
8.58. 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 25515 in 2026?
About $633.95 non-facility ($633.95 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 (8.58) and malpractice RVU stay fixed; only practice expense changes (8.66 office vs 8.66 facility). That is the entire office-vs-facility payment gap.