CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 27036 RVU and Medicare Payment (2026)
Capsulectomy/capsulotomy hip — 14.02 work RVU, about $942.91 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 14.02
- PE RVU (non-facility)
- 11.24
- PE RVU (facility)
- 11.24
- MP RVU
- 2.97
- Office payment
- $942.91
- Facility payment
- $942.91
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 27036 in a non-facility setting with national GPCI: (14.02 + 11.24 + 2.97) × $33.4009 ≈ $942.91. The same code in a facility setting pays about $942.91 because facility PE RVU (11.24) replaces office PE RVU.
What changes by locality
GPCI moves 27036 non-facility payment from $841.86 to $1,156.91 across CMS localities — from Arkansas to Alaska. 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 27036?
14.02. 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 27036 in 2026?
About $942.91 non-facility ($942.91 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 (14.02) and malpractice RVU stay fixed; only practice expense changes (11.24 office vs 11.24 facility). That is the entire office-vs-facility payment gap.