CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 21120 RVU and Medicare Payment (2026)
Genioplasty augmentation — 4.97 work RVU, about $715.45 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 4.97
- PE RVU (non-facility)
- 15.53
- PE RVU (facility)
- 8.74
- MP RVU
- 0.92
- Office payment
- $715.45
- Facility payment
- $488.66
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 21120 in a non-facility setting with national GPCI: (4.97 + 15.53 + 0.92) × $33.4009 ≈ $715.45. The same code in a facility setting pays about $488.66 because facility PE RVU (8.74) replaces office PE RVU.
What changes by locality
GPCI moves 21120 non-facility payment from $627.4 to $948.72 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 21120?
4.97. 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 21120 in 2026?
About $715.45 non-facility ($488.66 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 (4.97) and malpractice RVU stay fixed; only practice expense changes (15.53 office vs 8.74 facility). That is the entire office-vs-facility payment gap.