CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 25805 RVU and Medicare Payment (2026)
Arthrd wrist w/sliding graft — 11.44 work RVU, about $792.27 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 11.44
- PE RVU (non-facility)
- 9.84
- PE RVU (facility)
- 9.84
- MP RVU
- 2.44
- Office payment
- $792.27
- Facility payment
- $792.27
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 25805 in a non-facility setting with national GPCI: (11.44 + 9.84 + 2.44) × $33.4009 ≈ $792.27. The same code in a facility setting pays about $792.27 because facility PE RVU (9.84) replaces office PE RVU.
What changes by locality
GPCI moves 25805 non-facility payment from $706.4 to $968.09 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 25805?
11.44. 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 25805 in 2026?
About $792.27 non-facility ($792.27 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 (11.44) and malpractice RVU stay fixed; only practice expense changes (9.84 office vs 9.84 facility). That is the entire office-vs-facility payment gap.