CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 26605 RVU and Medicare Payment (2026)
Treat metacarpal fracture — 2.95 work RVU, about $376.43 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 2.95
- PE RVU (non-facility)
- 7.71
- PE RVU (facility)
- 5.78
- MP RVU
- 0.61
- Office payment
- $376.43
- Facility payment
- $311.96
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 26605 in a non-facility setting with national GPCI: (2.95 + 7.71 + 0.61) × $33.4009 ≈ $376.43. The same code in a facility setting pays about $311.96 because facility PE RVU (5.78) replaces office PE RVU.
What changes by locality
GPCI moves 26605 non-facility payment from $330.24 to $491.64 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 26605?
2.95. 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 26605 in 2026?
About $376.43 non-facility ($311.96 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 (2.95) and malpractice RVU stay fixed; only practice expense changes (7.71 office vs 5.78 facility). That is the entire office-vs-facility payment gap.