CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 21121 RVU and Medicare Payment (2026)
Geniop sldg osteot 1 — 7.61 work RVU, about $649.98 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 7.61
- PE RVU (non-facility)
- 10.98
- PE RVU (facility)
- 6.1
- MP RVU
- 0.87
- Office payment
- $649.98
- Facility payment
- $486.99
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 21121 in a non-facility setting with national GPCI: (7.61 + 10.98 + 0.87) × $33.4009 ≈ $649.98. The same code in a facility setting pays about $486.99 because facility PE RVU (6.1) replaces office PE RVU.
What changes by locality
GPCI moves 21121 non-facility payment from $584.18 to $826.56 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 21121?
7.61. 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 21121 in 2026?
About $649.98 non-facility ($486.99 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 (7.61) and malpractice RVU stay fixed; only practice expense changes (10.98 office vs 6.1 facility). That is the entire office-vs-facility payment gap.