CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 27052 RVU and Medicare Payment (2026)
Biopsy of hip joint — 7.23 work RVU, about $556.46 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 7.23
- PE RVU (non-facility)
- 7.9
- PE RVU (facility)
- 7.9
- MP RVU
- 1.53
- Office payment
- $556.46
- Facility payment
- $556.46
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 27052 in a non-facility setting with national GPCI: (7.23 + 7.9 + 1.53) × $33.4009 ≈ $556.46. The same code in a facility setting pays about $556.46 because facility PE RVU (7.9) replaces office PE RVU.
What changes by locality
GPCI moves 27052 non-facility payment from $494.47 to $675.94 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 27052?
7.23. 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 27052 in 2026?
About $556.46 non-facility ($556.46 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 (7.23) and malpractice RVU stay fixed; only practice expense changes (7.9 office vs 7.9 facility). That is the entire office-vs-facility payment gap.