CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 28292 RVU and Medicare Payment (2026)
Cor hlx vlgs rsc prx phlx bs — 7.25 work RVU, about $703.09 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 7.25
- PE RVU (non-facility)
- 13.02
- PE RVU (facility)
- 5.74
- MP RVU
- 0.78
- Office payment
- $703.09
- Facility payment
- $459.93
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 28292 in a non-facility setting with national GPCI: (7.25 + 13.02 + 0.78) × $33.4009 ≈ $703.09. The same code in a facility setting pays about $459.93 because facility PE RVU (5.74) replaces office PE RVU.
What changes by locality
GPCI moves 28292 non-facility payment from $629.14 to $909.85 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 28292?
7.25. 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 28292 in 2026?
About $703.09 non-facility ($459.93 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 (7.25) and malpractice RVU stay fixed; only practice expense changes (13.02 office vs 5.74 facility). That is the entire office-vs-facility payment gap.