CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 27818 RVU and Medicare Payment (2026)
Treatment of ankle fracture — 5.55 work RVU, about $584.85 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 5.55
- PE RVU (non-facility)
- 10.71
- PE RVU (facility)
- 7.46
- MP RVU
- 1.25
- Office payment
- $584.85
- Facility payment
- $476.3
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 27818 in a non-facility setting with national GPCI: (5.55 + 10.71 + 1.25) × $33.4009 ≈ $584.85. The same code in a facility setting pays about $476.3 because facility PE RVU (7.46) replaces office PE RVU.
What changes by locality
GPCI moves 27818 non-facility payment from $514.16 to $743.98 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 27818?
5.55. 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 27818 in 2026?
About $584.85 non-facility ($476.3 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 (5.55) and malpractice RVU stay fixed; only practice expense changes (10.71 office vs 7.46 facility). That is the entire office-vs-facility payment gap.