CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 26320 RVU and Medicare Payment (2026)
Removal of implant from hand — 4 work RVU, about $337.68 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 4
- PE RVU (non-facility)
- 5.33
- PE RVU (facility)
- 5.33
- MP RVU
- 0.78
- Office payment
- $337.68
- Facility payment
- $337.68
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 26320 in a non-facility setting with national GPCI: (4 + 5.33 + 0.78) × $33.4009 ≈ $337.68. The same code in a facility setting pays about $337.68 because facility PE RVU (5.33) replaces office PE RVU.
What changes by locality
GPCI moves 26320 non-facility payment from $299.95 to $418.98 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 26320?
4. 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 26320 in 2026?
About $337.68 non-facility ($337.68 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 (4) and malpractice RVU stay fixed; only practice expense changes (5.33 office vs 5.33 facility). That is the entire office-vs-facility payment gap.