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CPT 11772 — Exc pilonidal cyst comp

CPT code 11772 (Exc pilonidal cyst comp) carries 7.17 work RVUs under the CMS 2026 Medicare Physician Fee Schedule. Total RVUs are 25.37 in a non-facility setting and 17.17 in a facility setting, which at the 2026 conversion factor of $33.40 works out to $847.38 and $573.49 respectively.

7.17
Work RVU
25.37
Total RVU (non-facility)
$847.38
Medicare, non-facility
$573.49
Medicare, facility
Calculate your total wRVUs →

RVU breakdown for CPT 11772

ComponentRVUsWhat it covers
Work RVU7.17Physician time, skill, effort, and stress.
Practice expense RVU (non-facility)16.5Office overhead, staff, supplies.
Practice expense RVU (facility)8.3Overhead when performed in a hospital.
Malpractice RVU1.7Professional liability cost.
Total RVU (non-facility)25.37Work + non-facility PE + malpractice.
Total RVU (facility)17.17Work + facility PE + malpractice.

How Medicare payment is calculated

Medicare multiplies total RVUs by the annual conversion factor. For CPT 11772 in 2026:

SettingTotal RVUConversion factorNational payment
Non-facility25.37$33.40$847.38
Facility17.17$33.40$573.49

These are national amounts. Actual payment is adjusted by the Geographic Practice Cost Index for your locality — check yours with the GPCI lookup.

Billing rules for CPT 11772

Global period
90-day global — major surgery; 90 days of follow-up care included.
Multiple procedure reduction
Subject to the standard multiple-procedure reduction (100%/50%/50%…).
Bilateral surgery
Bilateral adjustment does not apply.
Assistant surgeon
Not permitted.
Co-surgeon
Not permitted unless documentation supports medical necessity.
Team surgery
Not permitted unless documentation supports medical necessity.

Questions about CPT 11772

How many work RVUs is CPT 11772?

CPT 11772 is assigned 7.17 work RVUs in the CMS 2026 Medicare Physician Fee Schedule.

What does Medicare pay for CPT 11772?

At the 2026 national conversion factor of $33.40, CPT 11772 pays approximately $847.38 in a non-facility setting and $573.49 in a facility setting before geographic adjustment.

What is the global period for CPT 11772?

90-day global — major surgery; 90 days of follow-up care included.

RVU values reflect the CMS 2026 Medicare Physician Fee Schedule (conversion factor $33.40). Payment figures are national and unadjusted for geography. Verify against the official fee schedule before using for billing.