CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 27078 RVU and Medicare Payment (2026)
Rsect hip tum incl femur — 31.4 work RVU, about $1,833.71 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 31.4
- PE RVU (non-facility)
- 16.81
- PE RVU (facility)
- 16.81
- MP RVU
- 6.69
- Office payment
- $1,833.71
- Facility payment
- $1,833.71
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 27078 in a non-facility setting with national GPCI: (31.4 + 16.81 + 6.69) × $33.4009 ≈ $1,833.71. The same code in a facility setting pays about $1,833.71 because facility PE RVU (16.81) replaces office PE RVU.
What changes by locality
GPCI moves 27078 non-facility payment from $1,646.17 to $2,294.27 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 27078?
31.4. 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 27078 in 2026?
About $1,833.71 non-facility ($1,833.71 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 (31.4) and malpractice RVU stay fixed; only practice expense changes (16.81 office vs 16.81 facility). That is the entire office-vs-facility payment gap.