CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 28240 RVU and Medicare Payment (2026)
Release of big toe — 4.37 work RVU, about $440.22 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 4.37
- PE RVU (non-facility)
- 8.37
- PE RVU (facility)
- 3.48
- MP RVU
- 0.44
- Office payment
- $440.22
- Facility payment
- $276.89
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 28240 in a non-facility setting with national GPCI: (4.37 + 8.37 + 0.44) × $33.4009 ≈ $440.22. The same code in a facility setting pays about $276.89 because facility PE RVU (3.48) replaces office PE RVU.
What changes by locality
GPCI moves 28240 non-facility payment from $393.68 to $573.03 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 28240?
4.37. 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 28240 in 2026?
About $440.22 non-facility ($276.89 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 (4.37) and malpractice RVU stay fixed; only practice expense changes (8.37 office vs 3.48 facility). That is the entire office-vs-facility payment gap.