CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 28299 RVU and Medicare Payment (2026)
Cor hlx vlgs double osteot — 9.06 work RVU, about $1,036.43 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 9.06
- PE RVU (non-facility)
- 20.84
- PE RVU (facility)
- 6.68
- MP RVU
- 1.13
- Office payment
- $1,036.43
- Facility payment
- $563.47
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 28299 in a non-facility setting with national GPCI: (9.06 + 20.84 + 1.13) × $33.4009 ≈ $1,036.43. The same code in a facility setting pays about $563.47 because facility PE RVU (6.68) replaces office PE RVU.
What changes by locality
GPCI moves 28299 non-facility payment from $919.98 to $1,359.87 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 28299?
9.06. 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 28299 in 2026?
About $1,036.43 non-facility ($563.47 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 (9.06) and malpractice RVU stay fixed; only practice expense changes (20.84 office vs 6.68 facility). That is the entire office-vs-facility payment gap.