CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 26991 RVU and Medicare Payment (2026)
Drainage of pelvis bursa — 6.88 work RVU, about $744.84 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 6.88
- PE RVU (non-facility)
- 14.01
- PE RVU (facility)
- 6.43
- MP RVU
- 1.41
- Office payment
- $744.84
- Facility payment
- $491.66
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 26991 in a non-facility setting with national GPCI: (6.88 + 14.01 + 1.41) × $33.4009 ≈ $744.84. The same code in a facility setting pays about $491.66 because facility PE RVU (6.43) replaces office PE RVU.
What changes by locality
GPCI moves 26991 non-facility payment from $656.02 to $955.1 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 26991?
6.88. 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 26991 in 2026?
About $744.84 non-facility ($491.66 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 (6.88) and malpractice RVU stay fixed; only practice expense changes (14.01 office vs 6.43 facility). That is the entire office-vs-facility payment gap.