CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 26725 RVU and Medicare Payment (2026)
Treat finger fracture each — 3.39 work RVU, about $395.8 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 3.39
- PE RVU (non-facility)
- 7.74
- PE RVU (facility)
- 5.53
- MP RVU
- 0.72
- Office payment
- $395.8
- Facility payment
- $321.98
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 26725 in a non-facility setting with national GPCI: (3.39 + 7.74 + 0.72) × $33.4009 ≈ $395.8. The same code in a facility setting pays about $321.98 because facility PE RVU (5.53) replaces office PE RVU.
What changes by locality
GPCI moves 26725 non-facility payment from $347.69 to $511.36 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 26725?
3.39. 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 26725 in 2026?
About $395.8 non-facility ($321.98 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 (3.39) and malpractice RVU stay fixed; only practice expense changes (7.74 office vs 5.53 facility). That is the entire office-vs-facility payment gap.