CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 27228 RVU and Medicare Payment (2026)
Treat hip fracture(s) — 28.6 work RVU, about $1,685.74 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 28.6
- PE RVU (non-facility)
- 15.76
- PE RVU (facility)
- 15.76
- MP RVU
- 6.11
- Office payment
- $1,685.74
- Facility payment
- $1,685.74
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 27228 in a non-facility setting with national GPCI: (28.6 + 15.76 + 6.11) × $33.4009 ≈ $1,685.74. The same code in a facility setting pays about $1,685.74 because facility PE RVU (15.76) replaces office PE RVU.
What changes by locality
GPCI moves 27228 non-facility payment from $1,512.54 to $2,105.96 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 27228?
28.6. 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 27228 in 2026?
About $1,685.74 non-facility ($1,685.74 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 (28.6) and malpractice RVU stay fixed; only practice expense changes (15.76 office vs 15.76 facility). That is the entire office-vs-facility payment gap.