CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 28300 RVU and Medicare Payment (2026)
Incision of heel bone — 9.49 work RVU, about $611.24 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 9.49
- PE RVU (non-facility)
- 7.2
- PE RVU (facility)
- 7.2
- MP RVU
- 1.61
- Office payment
- $611.24
- Facility payment
- $611.24
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 28300 in a non-facility setting with national GPCI: (9.49 + 7.2 + 1.61) × $33.4009 ≈ $611.24. The same code in a facility setting pays about $611.24 because facility PE RVU (7.2) replaces office PE RVU.
What changes by locality
GPCI moves 28300 non-facility payment from $551.25 to $761.21 across CMS localities — from Arkansas to Alaska. 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 28300?
9.49. 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 28300 in 2026?
About $611.24 non-facility ($611.24 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 (9.49) and malpractice RVU stay fixed; only practice expense changes (7.2 office vs 7.2 facility). That is the entire office-vs-facility payment gap.