CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 76886 RVU and Medicare Payment (2026)
Us exam infant hips static — 0.6 work RVU, about $97.2 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 0.6
- PE RVU (non-facility)
- 2.26
- PE RVU (facility)
- 2.26
- MP RVU
- 0.05
- Office payment
- $97.2
- Facility payment
- $97.2
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 76886 in a non-facility setting with national GPCI: (0.6 + 2.26 + 0.05) × $33.4009 ≈ $97.2. The same code in a facility setting pays about $97.2 because facility PE RVU (2.26) replaces office PE RVU.
What changes by locality
GPCI moves 76886 non-facility payment from $85.74 to $131.99 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 76886?
0.6. 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 76886 in 2026?
About $97.2 non-facility ($97.2 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 (0.6) and malpractice RVU stay fixed; only practice expense changes (2.26 office vs 2.26 facility). That is the entire office-vs-facility payment gap.