CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 28555 RVU and Medicare Payment (2026)
Repair foot dislocation — 9.41 work RVU, about $884.12 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 9.41
- PE RVU (non-facility)
- 15.57
- PE RVU (facility)
- 7.42
- MP RVU
- 1.49
- Office payment
- $884.12
- Facility payment
- $611.9
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 28555 in a non-facility setting with national GPCI: (9.41 + 15.57 + 1.49) × $33.4009 ≈ $884.12. The same code in a facility setting pays about $611.9 because facility PE RVU (7.42) replaces office PE RVU.
What changes by locality
GPCI moves 28555 non-facility payment from $786.66 to $1,125.47 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 28555?
9.41. 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 28555 in 2026?
About $884.12 non-facility ($611.9 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 (9.41) and malpractice RVU stay fixed; only practice expense changes (15.57 office vs 7.42 facility). That is the entire office-vs-facility payment gap.