CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 28050 RVU and Medicare Payment (2026)
Biopsy of foot joint lining — 4.28 work RVU, about $407.16 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 4.28
- PE RVU (non-facility)
- 7.54
- PE RVU (facility)
- 3.23
- MP RVU
- 0.37
- Office payment
- $407.16
- Facility payment
- $263.2
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 28050 in a non-facility setting with national GPCI: (4.28 + 7.54 + 0.37) × $33.4009 ≈ $407.16. The same code in a facility setting pays about $263.2 because facility PE RVU (3.23) replaces office PE RVU.
What changes by locality
GPCI moves 28050 non-facility payment from $365.65 to $528.46 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 28050?
4.28. 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 28050 in 2026?
About $407.16 non-facility ($263.2 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 (4.28) and malpractice RVU stay fixed; only practice expense changes (7.54 office vs 3.23 facility). That is the entire office-vs-facility payment gap.