CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 21110 RVU and Medicare Payment (2026)
Interdental fixation — 5.84 work RVU, about $872.77 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 5.84
- PE RVU (non-facility)
- 19.58
- PE RVU (facility)
- 13.65
- MP RVU
- 0.71
- Office payment
- $872.77
- Facility payment
- $674.7
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 21110 in a non-facility setting with national GPCI: (5.84 + 19.58 + 0.71) × $33.4009 ≈ $872.77. The same code in a facility setting pays about $674.7 because facility PE RVU (13.65) replaces office PE RVU.
What changes by locality
GPCI moves 21110 non-facility payment from $769.05 to $1,172.28 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 21110?
5.84. 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 21110 in 2026?
About $872.77 non-facility ($674.7 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 (5.84) and malpractice RVU stay fixed; only practice expense changes (19.58 office vs 13.65 facility). That is the entire office-vs-facility payment gap.