CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 28003 RVU and Medicare Payment (2026)
Treatment of foot infection — 5.15 work RVU, about $373.42 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 5.15
- PE RVU (non-facility)
- 5.49
- PE RVU (facility)
- 1.22
- MP RVU
- 0.54
- Office payment
- $373.42
- Facility payment
- $230.8
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 28003 in a non-facility setting with national GPCI: (5.15 + 5.49 + 0.54) × $33.4009 ≈ $373.42. The same code in a facility setting pays about $230.8 because facility PE RVU (1.22) replaces office PE RVU.
What changes by locality
GPCI moves 28003 non-facility payment from $338.82 to $465.02 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 28003?
5.15. 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 28003 in 2026?
About $373.42 non-facility ($230.8 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 (5.15) and malpractice RVU stay fixed; only practice expense changes (5.49 office vs 1.22 facility). That is the entire office-vs-facility payment gap.