CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 28296 RVU and Medicare Payment (2026)
Cor hlx vlgs dstl mtar osteo — 8.04 work RVU, about $883.45 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 8.04
- PE RVU (non-facility)
- 17.59
- PE RVU (facility)
- 5.64
- MP RVU
- 0.82
- Office payment
- $883.45
- Facility payment
- $484.31
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 28296 in a non-facility setting with national GPCI: (8.04 + 17.59 + 0.82) × $33.4009 ≈ $883.45. The same code in a facility setting pays about $484.31 because facility PE RVU (5.64) replaces office PE RVU.
What changes by locality
GPCI moves 28296 non-facility payment from $787.33 to $1,159.97 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 28296?
8.04. 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 28296 in 2026?
About $883.45 non-facility ($484.31 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 (8.04) and malpractice RVU stay fixed; only practice expense changes (17.59 office vs 5.64 facility). That is the entire office-vs-facility payment gap.