CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 27826 RVU and Medicare Payment (2026)
Treat lower leg fracture — 10.82 work RVU, about $812.98 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 10.82
- PE RVU (non-facility)
- 11.43
- PE RVU (facility)
- 11.43
- MP RVU
- 2.09
- Office payment
- $812.98
- Facility payment
- $812.98
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 27826 in a non-facility setting with national GPCI: (10.82 + 11.43 + 2.09) × $33.4009 ≈ $812.98. The same code in a facility setting pays about $812.98 because facility PE RVU (11.43) replaces office PE RVU.
What changes by locality
GPCI moves 27826 non-facility payment from $725.29 to $989.08 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 27826?
10.82. 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 27826 in 2026?
About $812.98 non-facility ($812.98 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 (10.82) and malpractice RVU stay fixed; only practice expense changes (11.43 office vs 11.43 facility). That is the entire office-vs-facility payment gap.