CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 28035 RVU and Medicare Payment (2026)
Decompression of tibia nerve — 5.1 work RVU, about $545.44 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 5.1
- PE RVU (non-facility)
- 10.57
- PE RVU (facility)
- 4.53
- MP RVU
- 0.66
- Office payment
- $545.44
- Facility payment
- $343.7
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 28035 in a non-facility setting with national GPCI: (5.1 + 10.57 + 0.66) × $33.4009 ≈ $545.44. The same code in a facility setting pays about $343.7 because facility PE RVU (4.53) replaces office PE RVU.
What changes by locality
GPCI moves 28035 non-facility payment from $484.97 to $709.99 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 28035?
5.1. 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 28035 in 2026?
About $545.44 non-facility ($343.7 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 (5.1) and malpractice RVU stay fixed; only practice expense changes (10.57 office vs 4.53 facility). That is the entire office-vs-facility payment gap.