CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 27222 RVU and Medicare Payment (2026)
Treat hip socket fracture — 13.76 work RVU, about $915.52 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 13.76
- PE RVU (non-facility)
- 10.68
- PE RVU (facility)
- 10.68
- MP RVU
- 2.97
- Office payment
- $915.52
- Facility payment
- $915.52
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 27222 in a non-facility setting with national GPCI: (13.76 + 10.68 + 2.97) × $33.4009 ≈ $915.52. The same code in a facility setting pays about $915.52 because facility PE RVU (10.68) replaces office PE RVU.
What changes by locality
GPCI moves 27222 non-facility payment from $817.11 to $1,123.96 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 27222?
13.76. 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 27222 in 2026?
About $915.52 non-facility ($915.52 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 (13.76) and malpractice RVU stay fixed; only practice expense changes (10.68 office vs 10.68 facility). That is the entire office-vs-facility payment gap.