CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 28171 RVU and Medicare Payment (2026)
Resect tarsal tumor — 16 work RVU, about $1,012.38 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 16
- PE RVU (non-facility)
- 10.91
- PE RVU (facility)
- 10.91
- MP RVU
- 3.4
- Office payment
- $1,012.38
- Facility payment
- $1,012.38
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 28171 in a non-facility setting with national GPCI: (16 + 10.91 + 3.4) × $33.4009 ≈ $1,012.38. The same code in a facility setting pays about $1,012.38 because facility PE RVU (10.91) replaces office PE RVU.
What changes by locality
GPCI moves 28171 non-facility payment from $905.92 to $1,252.28 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 28171?
16. 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 28171 in 2026?
About $1,012.38 non-facility ($1,012.38 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 (16) and malpractice RVU stay fixed; only practice expense changes (10.91 office vs 10.91 facility). That is the entire office-vs-facility payment gap.