CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 27447 RVU and Medicare Payment (2026)
Total knee arthroplasty — 19.11 work RVU, about $1,159.35 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 19.11
- PE RVU (non-facility)
- 11.58
- PE RVU (facility)
- 11.58
- MP RVU
- 4.02
- Office payment
- $1,159.35
- Facility payment
- $1,159.35
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 27447 in a non-facility setting with national GPCI: (19.11 + 11.58 + 4.02) × $33.4009 ≈ $1,159.35. The same code in a facility setting pays about $1,159.35 because facility PE RVU (11.58) replaces office PE RVU.
What changes by locality
GPCI moves 27447 non-facility payment from $1,039.69 to $1,443.34 across CMS localities — from Arkansas to Alaska. Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Going deeper: in-depth CPT 27447 RVU guide.
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 27447?
19.11. 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 27447 in 2026?
About $1,159.35 non-facility ($1,159.35 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 (19.11) and malpractice RVU stay fixed; only practice expense changes (11.58 office vs 11.58 facility). That is the entire office-vs-facility payment gap.