CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 26720 RVU and Medicare Payment (2026)
Treat finger fracture each — 1.72 work RVU, about $235.48 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 1.72
- PE RVU (non-facility)
- 4.97
- PE RVU (facility)
- 4.06
- MP RVU
- 0.36
- Office payment
- $235.48
- Facility payment
- $205.08
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 26720 in a non-facility setting with national GPCI: (1.72 + 4.97 + 0.36) × $33.4009 ≈ $235.48. The same code in a facility setting pays about $205.08 because facility PE RVU (4.06) replaces office PE RVU.
What changes by locality
GPCI moves 26720 non-facility payment from $206.24 to $309.59 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 26720?
1.72. 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 26720 in 2026?
About $235.48 non-facility ($205.08 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 (1.72) and malpractice RVU stay fixed; only practice expense changes (4.97 office vs 4.06 facility). That is the entire office-vs-facility payment gap.