CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 27870 RVU and Medicare Payment (2026)
Fusion of ankle joint open — 15.02 work RVU, about $927.88 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 15.02
- PE RVU (non-facility)
- 10.07
- PE RVU (facility)
- 10.07
- MP RVU
- 2.69
- Office payment
- $927.88
- Facility payment
- $927.88
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 27870 in a non-facility setting with national GPCI: (15.02 + 10.07 + 2.69) × $33.4009 ≈ $927.88. The same code in a facility setting pays about $927.88 because facility PE RVU (10.07) replaces office PE RVU.
What changes by locality
GPCI moves 27870 non-facility payment from $836.88 to $1,160.24 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 27870?
15.02. 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 27870 in 2026?
About $927.88 non-facility ($927.88 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 (15.02) and malpractice RVU stay fixed; only practice expense changes (10.07 office vs 10.07 facility). That is the entire office-vs-facility payment gap.