CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 27381 RVU and Medicare Payment (2026)
Repair/graft kneecap tendon — 10.49 work RVU, about $775.23 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 10.49
- PE RVU (non-facility)
- 10.53
- PE RVU (facility)
- 10.53
- MP RVU
- 2.19
- Office payment
- $775.23
- Facility payment
- $775.23
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 27381 in a non-facility setting with national GPCI: (10.49 + 10.53 + 2.19) × $33.4009 ≈ $775.23. The same code in a facility setting pays about $775.23 because facility PE RVU (10.53) replaces office PE RVU.
What changes by locality
GPCI moves 27381 non-facility payment from $690.17 to $940.44 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 27381?
10.49. 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 27381 in 2026?
About $775.23 non-facility ($775.23 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 (10.49) and malpractice RVU stay fixed; only practice expense changes (10.53 office vs 10.53 facility). That is the entire office-vs-facility payment gap.