CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 41251 RVU and Medicare Payment (2026)
Repair tongue laceration — 2.26 work RVU, about $427.87 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 2.26
- PE RVU (non-facility)
- 10
- PE RVU (facility)
- 3.98
- MP RVU
- 0.55
- Office payment
- $427.87
- Facility payment
- $226.79
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 41251 in a non-facility setting with national GPCI: (2.26 + 10 + 0.55) × $33.4009 ≈ $427.87. The same code in a facility setting pays about $226.79 because facility PE RVU (3.98) replaces office PE RVU.
What changes by locality
GPCI moves 41251 non-facility payment from $371.86 to $575.28 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 41251?
2.26. 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 41251 in 2026?
About $427.87 non-facility ($226.79 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 (2.26) and malpractice RVU stay fixed; only practice expense changes (10 office vs 3.98 facility). That is the entire office-vs-facility payment gap.