CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 28264 RVU and Medicare Payment (2026)
Release of midfoot joint — 10.38 work RVU, about $959.61 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 10.38
- PE RVU (non-facility)
- 16.62
- PE RVU (facility)
- 7.46
- MP RVU
- 1.73
- Office payment
- $959.61
- Facility payment
- $653.66
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 28264 in a non-facility setting with national GPCI: (10.38 + 16.62 + 1.73) × $33.4009 ≈ $959.61. The same code in a facility setting pays about $653.66 because facility PE RVU (7.46) replaces office PE RVU.
What changes by locality
GPCI moves 28264 non-facility payment from $853.31 to $1,216.3 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 28264?
10.38. 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 28264 in 2026?
About $959.61 non-facility ($653.66 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 (10.38) and malpractice RVU stay fixed; only practice expense changes (16.62 office vs 7.46 facility). That is the entire office-vs-facility payment gap.