CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 26478 RVU and Medicare Payment (2026)
Lengthening of hand tendon — 5.82 work RVU, about $650.98 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 5.82
- PE RVU (non-facility)
- 12.54
- PE RVU (facility)
- 12.54
- MP RVU
- 1.13
- Office payment
- $650.98
- Facility payment
- $650.98
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 26478 in a non-facility setting with national GPCI: (5.82 + 12.54 + 1.13) × $33.4009 ≈ $650.98. The same code in a facility setting pays about $650.98 because facility PE RVU (12.54) replaces office PE RVU.
What changes by locality
GPCI moves 26478 non-facility payment from $573.62 to $839.98 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 26478?
5.82. 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 26478 in 2026?
About $650.98 non-facility ($650.98 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 (5.82) and malpractice RVU stay fixed; only practice expense changes (12.54 office vs 12.54 facility). That is the entire office-vs-facility payment gap.