CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 21146 RVU and Medicare Payment (2026)
Rcnstj mdfc lefort i 2 w/grf — 24.25 work RVU, about $1,452.94 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 24.25
- PE RVU (non-facility)
- 15.74
- PE RVU (facility)
- 15.74
- MP RVU
- 3.51
- Office payment
- $1,452.94
- Facility payment
- $1,452.94
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 21146 in a non-facility setting with national GPCI: (24.25 + 15.74 + 3.51) × $33.4009 ≈ $1,452.94. The same code in a facility setting pays about $1,452.94 because facility PE RVU (15.74) replaces office PE RVU.
What changes by locality
GPCI moves 21146 non-facility payment from $1,321.95 to $1,839.46 across CMS localities — from Arkansas to Alaska. 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 21146?
24.25. 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 21146 in 2026?
About $1,452.94 non-facility ($1,452.94 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 (24.25) and malpractice RVU stay fixed; only practice expense changes (15.74 office vs 15.74 facility). That is the entire office-vs-facility payment gap.