CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 29804 RVU and Medicare Payment (2026)
Jaw arthroscopy/surgery — 8.65 work RVU, about $541.76 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 8.65
- PE RVU (non-facility)
- 6.43
- PE RVU (facility)
- 6.43
- MP RVU
- 1.14
- Office payment
- $541.76
- Facility payment
- $541.76
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 29804 in a non-facility setting with national GPCI: (8.65 + 6.43 + 1.14) × $33.4009 ≈ $541.76. The same code in a facility setting pays about $541.76 because facility PE RVU (6.43) replaces office PE RVU.
What changes by locality
GPCI moves 29804 non-facility payment from $493.01 to $683.08 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 29804?
8.65. 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 29804 in 2026?
About $541.76 non-facility ($541.76 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 (8.65) and malpractice RVU stay fixed; only practice expense changes (6.43 office vs 6.43 facility). That is the entire office-vs-facility payment gap.