CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 21026 RVU and Medicare Payment (2026)
Excision of facial bone(s) — 5.56 work RVU, about $576.17 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 5.56
- PE RVU (non-facility)
- 10.94
- PE RVU (facility)
- 6.07
- MP RVU
- 0.75
- Office payment
- $576.17
- Facility payment
- $413.5
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 21026 in a non-facility setting with national GPCI: (5.56 + 10.94 + 0.75) × $33.4009 ≈ $576.17. The same code in a facility setting pays about $413.5 because facility PE RVU (6.07) replaces office PE RVU.
What changes by locality
GPCI moves 21026 non-facility payment from $512.49 to $746.48 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 21026?
5.56. 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 21026 in 2026?
About $576.17 non-facility ($413.5 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 (5.56) and malpractice RVU stay fixed; only practice expense changes (10.94 office vs 6.07 facility). That is the entire office-vs-facility payment gap.