CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 21047 RVU and Medicare Payment (2026)
Excise lwr jaw cyst w/repair — 19.57 work RVU, about $1,076.51 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 19.57
- PE RVU (non-facility)
- 10.05
- PE RVU (facility)
- 10.05
- MP RVU
- 2.61
- Office payment
- $1,076.51
- Facility payment
- $1,076.51
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 21047 in a non-facility setting with national GPCI: (19.57 + 10.05 + 2.61) × $33.4009 ≈ $1,076.51. The same code in a facility setting pays about $1,076.51 because facility PE RVU (10.05) replaces office PE RVU.
What changes by locality
GPCI moves 21047 non-facility payment from $986.9 to $1,386.02 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 21047?
19.57. 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 21047 in 2026?
About $1,076.51 non-facility ($1,076.51 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 (19.57) and malpractice RVU stay fixed; only practice expense changes (10.05 office vs 10.05 facility). That is the entire office-vs-facility payment gap.