CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 28262 RVU and Medicare Payment (2026)
Revision of foot and ankle — 16.78 work RVU, about $1,480.33 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 16.78
- PE RVU (non-facility)
- 24.34
- PE RVU (facility)
- 10.97
- MP RVU
- 3.2
- Office payment
- $1,480.33
- Facility payment
- $1,033.76
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 28262 in a non-facility setting with national GPCI: (16.78 + 24.34 + 3.2) × $33.4009 ≈ $1,480.33. The same code in a facility setting pays about $1,033.76 because facility PE RVU (10.97) replaces office PE RVU.
What changes by locality
GPCI moves 28262 non-facility payment from $1,313.86 to $1,851.72 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 28262?
16.78. 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 28262 in 2026?
About $1,480.33 non-facility ($1,033.76 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 (16.78) and malpractice RVU stay fixed; only practice expense changes (24.34 office vs 10.97 facility). That is the entire office-vs-facility payment gap.