CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 21627 RVU and Medicare Payment (2026)
Sternal debridement — 7.12 work RVU, about $555.46 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 7.12
- PE RVU (non-facility)
- 7.81
- PE RVU (facility)
- 7.81
- MP RVU
- 1.7
- Office payment
- $555.46
- Facility payment
- $555.46
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 21627 in a non-facility setting with national GPCI: (7.12 + 7.81 + 1.7) × $33.4009 ≈ $555.46. The same code in a facility setting pays about $555.46 because facility PE RVU (7.81) replaces office PE RVU.
What changes by locality
GPCI moves 21627 non-facility payment from $491.14 to $670.57 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 21627?
7.12. 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 21627 in 2026?
About $555.46 non-facility ($555.46 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 (7.12) and malpractice RVU stay fixed; only practice expense changes (7.81 office vs 7.81 facility). That is the entire office-vs-facility payment gap.