CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31

CPT 26555 RVU and Medicare Payment (2026)

Positional change of finger — 16.65 work RVU, about $1,308.98 non-facility Medicare payment at the 2026 conversion factor.

Work RVU
16.65
PE RVU (non-facility)
18.99
PE RVU (facility)
18.99
MP RVU
3.55
Office payment
$1,308.98
Facility payment
$1,308.98

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 26555 in a non-facility setting with national GPCI: (16.65 + 18.99 + 3.55) × $33.4009 ≈ $1,308.98. The same code in a facility setting pays about $1,308.98 because facility PE RVU (18.99) replaces office PE RVU.

What changes by locality

GPCI moves 26555 non-facility payment from $1,162.04 to $1,595.49 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 26555?

16.65. 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 26555 in 2026?

About $1,308.98 non-facility ($1,308.98 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 (16.65) and malpractice RVU stay fixed; only practice expense changes (18.99 office vs 18.99 facility). That is the entire office-vs-facility payment gap.