CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 27240 RVU and Medicare Payment (2026)
Treat thigh fracture — 13.46 work RVU, about $898.15 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 13.46
- PE RVU (non-facility)
- 10.5
- PE RVU (facility)
- 10.5
- MP RVU
- 2.93
- Office payment
- $898.15
- Facility payment
- $898.15
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 27240 in a non-facility setting with national GPCI: (13.46 + 10.5 + 2.93) × $33.4009 ≈ $898.15. The same code in a facility setting pays about $898.15 because facility PE RVU (10.5) replaces office PE RVU.
What changes by locality
GPCI moves 27240 non-facility payment from $801.24 to $1,101.79 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 27240?
13.46. 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 27240 in 2026?
About $898.15 non-facility ($898.15 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 (13.46) and malpractice RVU stay fixed; only practice expense changes (10.5 office vs 10.5 facility). That is the entire office-vs-facility payment gap.