CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 26250 RVU and Medicare Payment (2026)
Extensive hand surgery — 14.83 work RVU, about $985.99 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 14.83
- PE RVU (non-facility)
- 11.53
- PE RVU (facility)
- 11.53
- MP RVU
- 3.16
- Office payment
- $985.99
- Facility payment
- $985.99
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 26250 in a non-facility setting with national GPCI: (14.83 + 11.53 + 3.16) × $33.4009 ≈ $985.99. The same code in a facility setting pays about $985.99 because facility PE RVU (11.53) replaces office PE RVU.
What changes by locality
GPCI moves 26250 non-facility payment from $880.5 to $1,211.3 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 26250?
14.83. 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 26250 in 2026?
About $985.99 non-facility ($985.99 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 (14.83) and malpractice RVU stay fixed; only practice expense changes (11.53 office vs 11.53 facility). That is the entire office-vs-facility payment gap.