CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 26641 RVU and Medicare Payment (2026)
Treat thumb dislocation — 4.03 work RVU, about $469.28 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 4.03
- PE RVU (non-facility)
- 9.16
- PE RVU (facility)
- 6.61
- MP RVU
- 0.86
- Office payment
- $469.28
- Facility payment
- $384.11
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 26641 in a non-facility setting with national GPCI: (4.03 + 9.16 + 0.86) × $33.4009 ≈ $469.28. The same code in a facility setting pays about $384.11 because facility PE RVU (6.61) replaces office PE RVU.
What changes by locality
GPCI moves 26641 non-facility payment from $412.21 to $605.99 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 26641?
4.03. 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 26641 in 2026?
About $469.28 non-facility ($384.11 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 (4.03) and malpractice RVU stay fixed; only practice expense changes (9.16 office vs 6.61 facility). That is the entire office-vs-facility payment gap.