CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 26115 RVU and Medicare Payment (2026)
Exc hand les sc < 1.5 cm — 3.86 work RVU, about $588.19 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 3.86
- PE RVU (non-facility)
- 13
- PE RVU (facility)
- 5.01
- MP RVU
- 0.75
- Office payment
- $588.19
- Facility payment
- $321.32
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 26115 in a non-facility setting with national GPCI: (3.86 + 13 + 0.75) × $33.4009 ≈ $588.19. The same code in a facility setting pays about $321.32 because facility PE RVU (5.01) replaces office PE RVU.
What changes by locality
GPCI moves 26115 non-facility payment from $514.82 to $782.67 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 26115?
3.86. 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 26115 in 2026?
About $588.19 non-facility ($321.32 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 (3.86) and malpractice RVU stay fixed; only practice expense changes (13 office vs 5.01 facility). That is the entire office-vs-facility payment gap.