CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 21615 RVU and Medicare Payment (2026)
Excision 1st &/cervical rib — 10.19 work RVU, about $582.51 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 10.19
- PE RVU (non-facility)
- 4.71
- PE RVU (facility)
- 4.71
- MP RVU
- 2.54
- Office payment
- $582.51
- Facility payment
- $582.51
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 21615 in a non-facility setting with national GPCI: (10.19 + 4.71 + 2.54) × $33.4009 ≈ $582.51. The same code in a facility setting pays about $582.51 because facility PE RVU (4.71) replaces office PE RVU.
What changes by locality
GPCI moves 21615 non-facility payment from $517.2 to $724.82 across CMS localities — from Wisconsin 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 21615?
10.19. 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 21615 in 2026?
About $582.51 non-facility ($582.51 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 (10.19) and malpractice RVU stay fixed; only practice expense changes (4.71 office vs 4.71 facility). That is the entire office-vs-facility payment gap.