CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 21347 RVU and Medicare Payment (2026)
Opn tx nasomax fx multple — 13.19 work RVU, about $939.23 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 13.19
- PE RVU (non-facility)
- 13.01
- PE RVU (facility)
- 13.01
- MP RVU
- 1.92
- Office payment
- $939.23
- Facility payment
- $939.23
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 21347 in a non-facility setting with national GPCI: (13.19 + 13.01 + 1.92) × $33.4009 ≈ $939.23. The same code in a facility setting pays about $939.23 because facility PE RVU (13.01) replaces office PE RVU.
What changes by locality
GPCI moves 21347 non-facility payment from $846.86 to $1,158.96 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 21347?
13.19. 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 21347 in 2026?
About $939.23 non-facility ($939.23 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 (13.19) and malpractice RVU stay fixed; only practice expense changes (13.01 office vs 13.01 facility). That is the entire office-vs-facility payment gap.