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CPT 21261 — Revise eye sockets

CPT code 21261 (Revise eye sockets) carries 33.22 work RVUs under the CMS 2026 Medicare Physician Fee Schedule. Total RVUs are 65.14 in a non-facility setting and 65.14 in a facility setting, which at the 2026 conversion factor of $33.40 works out to $2,175.73 and $2,175.73 respectively.

33.22
Work RVU
65.14
Total RVU (non-facility)
$2,175.73
Medicare, non-facility
$2,175.73
Medicare, facility
Calculate your total wRVUs →

RVU breakdown for CPT 21261

ComponentRVUsWhat it covers
Work RVU33.22Physician time, skill, effort, and stress.
Practice expense RVU (non-facility)25.75Office overhead, staff, supplies.
Practice expense RVU (facility)0.0Overhead when performed in a hospital.
Malpractice RVU6.17Professional liability cost.
Total RVU (non-facility)65.14Work + non-facility PE + malpractice.
Total RVU (facility)65.14Work + facility PE + malpractice.

How Medicare payment is calculated

Medicare multiplies total RVUs by the annual conversion factor. For CPT 21261 in 2026:

SettingTotal RVUConversion factorNational payment
Non-facility65.14$33.40$2,175.73
Facility65.14$33.40$2,175.73

These are national amounts. Actual payment is adjusted by the Geographic Practice Cost Index for your locality — check yours with the GPCI lookup.

Billing rules for CPT 21261

Global period
90-day global — major surgery; 90 days of follow-up care included.
Multiple procedure reduction
Subject to the standard multiple-procedure reduction (100%/50%/50%…).
Bilateral surgery
Bilateral adjustment does not apply.
Assistant surgeon
Permitted.
Co-surgeon
Not permitted.
Team surgery
Not permitted unless documentation supports medical necessity.

Questions about CPT 21261

How many work RVUs is CPT 21261?

CPT 21261 is assigned 33.22 work RVUs in the CMS 2026 Medicare Physician Fee Schedule.

What does Medicare pay for CPT 21261?

At the 2026 national conversion factor of $33.40, CPT 21261 pays approximately $2,175.73 in a non-facility setting and $2,175.73 in a facility setting before geographic adjustment.

What is the global period for CPT 21261?

90-day global — major surgery; 90 days of follow-up care included.

RVU values reflect the CMS 2026 Medicare Physician Fee Schedule (conversion factor $33.40). Payment figures are national and unadjusted for geography. Verify against the official fee schedule before using for billing.