CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 27357 RVU and Medicare Payment (2026)
Remove femur lesion/graft — 10.88 work RVU, about $766.55 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 10.88
- PE RVU (non-facility)
- 9.76
- PE RVU (facility)
- 9.76
- MP RVU
- 2.31
- Office payment
- $766.55
- Facility payment
- $766.55
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 27357 in a non-facility setting with national GPCI: (10.88 + 9.76 + 2.31) × $33.4009 ≈ $766.55. The same code in a facility setting pays about $766.55 because facility PE RVU (9.76) replaces office PE RVU.
What changes by locality
GPCI moves 27357 non-facility payment from $683.16 to $934.8 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 27357?
10.88. 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 27357 in 2026?
About $766.55 non-facility ($766.55 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 (10.88) and malpractice RVU stay fixed; only practice expense changes (9.76 office vs 9.76 facility). That is the entire office-vs-facility payment gap.