CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 25690 RVU and Medicare Payment (2026)
Cltx lunate dislc w/mnpj — 5.58 work RVU, about $482.31 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 5.58
- PE RVU (non-facility)
- 7.66
- PE RVU (facility)
- 7.66
- MP RVU
- 1.2
- Office payment
- $482.31
- Facility payment
- $482.31
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 25690 in a non-facility setting with national GPCI: (5.58 + 7.66 + 1.2) × $33.4009 ≈ $482.31. The same code in a facility setting pays about $482.31 because facility PE RVU (7.66) replaces office PE RVU.
What changes by locality
GPCI moves 25690 non-facility payment from $426.79 to $597.3 across CMS localities — from Arkansas to San Jose-sunnyvale-santa Clara (san Benito Cnty). 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 25690?
5.58. 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 25690 in 2026?
About $482.31 non-facility ($482.31 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 (5.58) and malpractice RVU stay fixed; only practice expense changes (7.66 office vs 7.66 facility). That is the entire office-vs-facility payment gap.