CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 27086 RVU and Medicare Payment (2026)
Remove hip foreign body — 1.87 work RVU, about $339.69 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 1.87
- PE RVU (non-facility)
- 7.9
- PE RVU (facility)
- 2.74
- MP RVU
- 0.4
- Office payment
- $339.69
- Facility payment
- $167.34
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 27086 in a non-facility setting with national GPCI: (1.87 + 7.9 + 0.4) × $33.4009 ≈ $339.69. The same code in a facility setting pays about $167.34 because facility PE RVU (2.74) replaces office PE RVU.
What changes by locality
GPCI moves 27086 non-facility payment from $296 to $456.99 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 27086?
1.87. 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 27086 in 2026?
About $339.69 non-facility ($167.34 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 (1.87) and malpractice RVU stay fixed; only practice expense changes (7.9 office vs 2.74 facility). That is the entire office-vs-facility payment gap.