CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 27881 RVU and Medicare Payment (2026)
Amputation of lower leg — 13.13 work RVU, about $758.87 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 13.13
- PE RVU (non-facility)
- 6.41
- PE RVU (facility)
- 6.41
- MP RVU
- 3.18
- Office payment
- $758.87
- Facility payment
- $758.87
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 27881 in a non-facility setting with national GPCI: (13.13 + 6.41 + 3.18) × $33.4009 ≈ $758.87. The same code in a facility setting pays about $758.87 because facility PE RVU (6.41) replaces office PE RVU.
What changes by locality
GPCI moves 27881 non-facility payment from $676.32 to $944.37 across CMS localities — from Nebraska 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 27881?
13.13. 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 27881 in 2026?
About $758.87 non-facility ($758.87 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 (13.13) and malpractice RVU stay fixed; only practice expense changes (6.41 office vs 6.41 facility). That is the entire office-vs-facility payment gap.