CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 28261 RVU and Medicare Payment (2026)
Revision of foot tendon — 12.78 work RVU, about $1,123.61 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 12.78
- PE RVU (non-facility)
- 18.67
- PE RVU (facility)
- 8.56
- MP RVU
- 2.19
- Office payment
- $1,123.61
- Facility payment
- $785.92
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 28261 in a non-facility setting with national GPCI: (12.78 + 18.67 + 2.19) × $33.4009 ≈ $1,123.61. The same code in a facility setting pays about $785.92 because facility PE RVU (8.56) replaces office PE RVU.
What changes by locality
GPCI moves 28261 non-facility payment from $1,000.2 to $1,412.25 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 28261?
12.78. 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 28261 in 2026?
About $1,123.61 non-facility ($785.92 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 (12.78) and malpractice RVU stay fixed; only practice expense changes (18.67 office vs 8.56 facility). That is the entire office-vs-facility payment gap.