CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 27246 RVU and Medicare Payment (2026)
Treat thigh fracture — 4.71 work RVU, about $427.87 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 4.71
- PE RVU (non-facility)
- 7.09
- PE RVU (facility)
- 5.58
- MP RVU
- 1.01
- Office payment
- $427.87
- Facility payment
- $377.43
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 27246 in a non-facility setting with national GPCI: (4.71 + 7.09 + 1.01) × $33.4009 ≈ $427.87. The same code in a facility setting pays about $377.43 because facility PE RVU (5.58) replaces office PE RVU.
What changes by locality
GPCI moves 27246 non-facility payment from $378.11 to $534.19 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 27246?
4.71. 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 27246 in 2026?
About $427.87 non-facility ($377.43 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 (4.71) and malpractice RVU stay fixed; only practice expense changes (7.09 office vs 5.58 facility). That is the entire office-vs-facility payment gap.