CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 27430 RVU and Medicare Payment (2026)
Revision of thigh muscles — 9.91 work RVU, about $699.08 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 9.91
- PE RVU (non-facility)
- 8.92
- PE RVU (facility)
- 8.92
- MP RVU
- 2.1
- Office payment
- $699.08
- Facility payment
- $699.08
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 27430 in a non-facility setting with national GPCI: (9.91 + 8.92 + 2.1) × $33.4009 ≈ $699.08. The same code in a facility setting pays about $699.08 because facility PE RVU (8.92) replaces office PE RVU.
What changes by locality
GPCI moves 27430 non-facility payment from $623.05 to $852.45 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 27430?
9.91. 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 27430 in 2026?
About $699.08 non-facility ($699.08 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 (9.91) and malpractice RVU stay fixed; only practice expense changes (8.92 office vs 8.92 facility). That is the entire office-vs-facility payment gap.