CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 26205 RVU and Medicare Payment (2026)
Remove/graft bone lesion — 7.73 work RVU, about $576.17 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 7.73
- PE RVU (non-facility)
- 7.88
- PE RVU (facility)
- 7.88
- MP RVU
- 1.64
- Office payment
- $576.17
- Facility payment
- $576.17
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 26205 in a non-facility setting with national GPCI: (7.73 + 7.88 + 1.64) × $33.4009 ≈ $576.17. The same code in a facility setting pays about $576.17 because facility PE RVU (7.88) replaces office PE RVU.
What changes by locality
GPCI moves 26205 non-facility payment from $512.49 to $697.77 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 26205?
7.73. 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 26205 in 2026?
About $576.17 non-facility ($576.17 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 (7.73) and malpractice RVU stay fixed; only practice expense changes (7.88 office vs 7.88 facility). That is the entire office-vs-facility payment gap.