CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 27256 RVU and Medicare Payment (2026)
Treat hip dislocation — 4.17 work RVU, about $403.82 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 4.17
- PE RVU (non-facility)
- 6.87
- PE RVU (facility)
- 2.62
- MP RVU
- 1.05
- Office payment
- $403.82
- Facility payment
- $261.86
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 27256 in a non-facility setting with national GPCI: (4.17 + 6.87 + 1.05) × $33.4009 ≈ $403.82. The same code in a facility setting pays about $261.86 because facility PE RVU (2.62) replaces office PE RVU.
What changes by locality
GPCI moves 27256 non-facility payment from $354.45 to $504.29 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 27256?
4.17. 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 27256 in 2026?
About $403.82 non-facility ($261.86 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 (4.17) and malpractice RVU stay fixed; only practice expense changes (6.87 office vs 2.62 facility). That is the entire office-vs-facility payment gap.