CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 21345 RVU and Medicare Payment (2026)
Closed tx nose/jaw fx — 8.83 work RVU, about $799.28 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 8.83
- PE RVU (non-facility)
- 13.81
- PE RVU (facility)
- 6.89
- MP RVU
- 1.29
- Office payment
- $799.28
- Facility payment
- $568.15
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 21345 in a non-facility setting with national GPCI: (8.83 + 13.81 + 1.29) × $33.4009 ≈ $799.28. The same code in a facility setting pays about $568.15 because facility PE RVU (6.89) replaces office PE RVU.
What changes by locality
GPCI moves 21345 non-facility payment from $713.35 to $1,015.61 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 21345?
8.83. 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 21345 in 2026?
About $799.28 non-facility ($568.15 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 (8.83) and malpractice RVU stay fixed; only practice expense changes (13.81 office vs 6.89 facility). That is the entire office-vs-facility payment gap.