CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 29916 RVU and Medicare Payment (2026)
Hip arthro w/labral repair — 14.63 work RVU, about $930.55 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 14.63
- PE RVU (non-facility)
- 10.33
- PE RVU (facility)
- 10.33
- MP RVU
- 2.9
- Office payment
- $930.55
- Facility payment
- $930.55
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 29916 in a non-facility setting with national GPCI: (14.63 + 10.33 + 2.9) × $33.4009 ≈ $930.55. The same code in a facility setting pays about $930.55 because facility PE RVU (10.33) replaces office PE RVU.
What changes by locality
GPCI moves 29916 non-facility payment from $834.92 to $1,153.81 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 29916?
14.63. 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 29916 in 2026?
About $930.55 non-facility ($930.55 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 (14.63) and malpractice RVU stay fixed; only practice expense changes (10.33 office vs 10.33 facility). That is the entire office-vs-facility payment gap.