CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 26551 RVU and Medicare Payment (2026)
Great toe-hand transfer — 47.27 work RVU, about $2,975.35 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 47.27
- PE RVU (non-facility)
- 31.71
- PE RVU (facility)
- 31.71
- MP RVU
- 10.1
- Office payment
- $2,975.35
- Facility payment
- $2,975.35
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 26551 in a non-facility setting with national GPCI: (47.27 + 31.71 + 10.1) × $33.4009 ≈ $2,975.35. The same code in a facility setting pays about $2,975.35 because facility PE RVU (31.71) replaces office PE RVU.
What changes by locality
GPCI moves 26551 non-facility payment from $2,662.4 to $3,682.16 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 26551?
47.27. 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 26551 in 2026?
About $2,975.35 non-facility ($2,975.35 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 (47.27) and malpractice RVU stay fixed; only practice expense changes (31.71 office vs 31.71 facility). That is the entire office-vs-facility payment gap.