CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 21082 RVU and Medicare Payment (2026)
Impres&prep paltl aug prosth — 20.32 work RVU, about $1,498.36 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 20.32
- PE RVU (non-facility)
- 22.14
- PE RVU (facility)
- 7.02
- MP RVU
- 2.4
- Office payment
- $1,498.36
- Facility payment
- $993.34
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 21082 in a non-facility setting with national GPCI: (20.32 + 22.14 + 2.4) × $33.4009 ≈ $1,498.36. The same code in a facility setting pays about $993.34 because facility PE RVU (7.02) replaces office PE RVU.
What changes by locality
GPCI moves 21082 non-facility payment from $1,355.22 to $1,862.68 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 21082?
20.32. 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 21082 in 2026?
About $1,498.36 non-facility ($993.34 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 (20.32) and malpractice RVU stay fixed; only practice expense changes (22.14 office vs 7.02 facility). That is the entire office-vs-facility payment gap.