CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 21073 RVU and Medicare Payment (2026)
Mnpj of tmj w/anesth — 3.36 work RVU, about $429.87 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 3.36
- PE RVU (non-facility)
- 9.03
- PE RVU (facility)
- 2.85
- MP RVU
- 0.48
- Office payment
- $429.87
- Facility payment
- $223.45
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 21073 in a non-facility setting with national GPCI: (3.36 + 9.03 + 0.48) × $33.4009 ≈ $429.87. The same code in a facility setting pays about $223.45 because facility PE RVU (2.85) replaces office PE RVU.
What changes by locality
GPCI moves 21073 non-facility payment from $379.57 to $568.09 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 21073?
3.36. 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 21073 in 2026?
About $429.87 non-facility ($223.45 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 (3.36) and malpractice RVU stay fixed; only practice expense changes (9.03 office vs 2.85 facility). That is the entire office-vs-facility payment gap.