CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 28005 RVU and Medicare Payment (2026)
Treat foot bone lesion — 9.2 work RVU, about $534.75 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 9.2
- PE RVU (non-facility)
- 5.85
- PE RVU (facility)
- 5.85
- MP RVU
- 0.96
- Office payment
- $534.75
- Facility payment
- $534.75
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 28005 in a non-facility setting with national GPCI: (9.2 + 5.85 + 0.96) × $33.4009 ≈ $534.75. The same code in a facility setting pays about $534.75 because facility PE RVU (5.85) replaces office PE RVU.
What changes by locality
GPCI moves 28005 non-facility payment from $491.65 to $686.7 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 28005?
9.2. 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 28005 in 2026?
About $534.75 non-facility ($534.75 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 (9.2) and malpractice RVU stay fixed; only practice expense changes (5.85 office vs 5.85 facility). That is the entire office-vs-facility payment gap.