CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 42340 RVU and Medicare Payment (2026)
Removal of salivary stone — 4.6 work RVU, about $525.73 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 4.6
- PE RVU (non-facility)
- 10.48
- PE RVU (facility)
- 3.99
- MP RVU
- 0.66
- Office payment
- $525.73
- Facility payment
- $308.96
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 42340 in a non-facility setting with national GPCI: (4.6 + 10.48 + 0.66) × $33.4009 ≈ $525.73. The same code in a facility setting pays about $308.96 because facility PE RVU (3.99) replaces office PE RVU.
What changes by locality
GPCI moves 42340 non-facility payment from $465.68 to $687.12 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 42340?
4.6. 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 42340 in 2026?
About $525.73 non-facility ($308.96 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 (4.6) and malpractice RVU stay fixed; only practice expense changes (10.48 office vs 3.99 facility). That is the entire office-vs-facility payment gap.