CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 27323 RVU and Medicare Payment (2026)
Biopsy thigh soft tissues — 2.27 work RVU, about $274.89 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 2.27
- PE RVU (non-facility)
- 5.66
- PE RVU (facility)
- 2.15
- MP RVU
- 0.3
- Office payment
- $274.89
- Facility payment
- $157.65
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 27323 in a non-facility setting with national GPCI: (2.27 + 5.66 + 0.3) × $33.4009 ≈ $274.89. The same code in a facility setting pays about $157.65 because facility PE RVU (2.15) replaces office PE RVU.
What changes by locality
GPCI moves 27323 non-facility payment from $243.37 to $362.14 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 27323?
2.27. 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 27323 in 2026?
About $274.89 non-facility ($157.65 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 (2.27) and malpractice RVU stay fixed; only practice expense changes (5.66 office vs 2.15 facility). That is the entire office-vs-facility payment gap.