CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 28306 RVU and Medicare Payment (2026)
Incision of metatarsal — 5.85 work RVU, about $628.27 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 5.85
- PE RVU (non-facility)
- 12.14
- PE RVU (facility)
- 4.88
- MP RVU
- 0.82
- Office payment
- $628.27
- Facility payment
- $385.78
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 28306 in a non-facility setting with national GPCI: (5.85 + 12.14 + 0.82) × $33.4009 ≈ $628.27. The same code in a facility setting pays about $385.78 because facility PE RVU (4.88) replaces office PE RVU.
What changes by locality
GPCI moves 28306 non-facility payment from $557.81 to $816.28 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 28306?
5.85. 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 28306 in 2026?
About $628.27 non-facility ($385.78 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 (5.85) and malpractice RVU stay fixed; only practice expense changes (12.14 office vs 4.88 facility). That is the entire office-vs-facility payment gap.