CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 27278 RVU and Medicare Payment (2026)
Arthrd si jt plmt iartic dev — 7.66 work RVU, about $13,754.82 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 7.66
- PE RVU (non-facility)
- 403.3
- PE RVU (facility)
- 4.64
- MP RVU
- 0.85
- Office payment
- $13,754.82
- Facility payment
- $439.22
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 27278 in a non-facility setting with national GPCI: (7.66 + 403.3 + 0.85) × $33.4009 ≈ $13,754.82. The same code in a facility setting pays about $439.22 because facility PE RVU (4.64) replaces office PE RVU.
What changes by locality
GPCI moves 27278 non-facility payment from $11,841.7 to $19,723.79 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 27278?
7.66. 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 27278 in 2026?
About $13,754.82 non-facility ($439.22 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 (7.66) and malpractice RVU stay fixed; only practice expense changes (403.3 office vs 4.64 facility). That is the entire office-vs-facility payment gap.