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CPT 95921 RVU Values & Medicare Payment 2026

Autonomic nrv parasym inervj

RVU payment profile

CPT 95921 is calculated with its CMS 2026 RVU components, the National Average GPCI locality, the non-facility practice expense setting, and the non-QPP conversion factor.

wRVU

0.88

Total RVU

2.70

Medicare payment

$90.18

CPT 95921 setting and related-code comparison

Compare the same CPT under both PE settings, then review adjacent codes using National Average GPCI and the selected 2026 conversion factor.

Setting	Work RVU	PE RVU	MP RVU	Total RVU	Payment
Non-facility	0.88	1.78	0.04	2.70	$90.18
Facility	0.88	1.78	0.04	2.70	$90.18

Setting note: CPT 95921 keeps the same work RVU across this comparison, while practice expense RVU changes from 1.78 non-facility PE RVU to 1.78 facility PE RVU. Use one setting consistently when comparing localities or adjacent CPT codes.

Related CPT	Descriptor	wRVU	Typical setting	National payment
CPT 95913	Nrv cndj test 13/> studies	3.47	Non-facility	$299.94
CPT 95919	Quan puplmtry phy/qhp uni/bi	0.18	Non-facility	$16.70
CPT 95922	Autonomic nrv adrenrg inervj	0.96	Non-facility	$91.18
CPT 95923	Autonomic nrv syst funj test	0.88	Non-facility	$122.58
CPT 99214	Office o/p est mod 30 min	1.92	Non-facility	$135.61

CPT RVU and Medicare payment calculator

Search a CPT code, choose geography and participation status, then review work RVU, PE RVU, MP RVU, total RVU, and estimated Medicare payment. Use work RVU for productivity context and total RVU for Medicare payment estimates.

Inputs

CPT code or keyword

GPCI locality

Setting

Conversion factor

Results

Estimated Medicare payment

$90.18

2.70 total RVU in National Average, National.

wRVU

0.88

PE RVU

1.78

MP RVU

0.04

Total RVU

2.70

Non-QPP

$90.18

QPP

$90.63

QPP delta

$0.45

How to use this result

Payment estimate: use total RVU and non-QPP $33.4009 for Medicare payment review.
Productivity review: use work RVU separately; total RVU is not a physician productivity target.
Before relying on it: confirm office / non-facility, National Average, and payer-specific billing rules.

Review

Calculation formula

Total RVU = work RVU x GPCI work + PE RVU x GPCI PE + MP RVU x GPCI MP. Payment = total RVU x selected 2026 conversion factor. Non-QPP uses $33.4009 and QPP uses $33.5675.

Selected calculation assumptions

CPT: 95921
Setting: office / non-facility
Conversion factor: non-QPP $33.4009
Work GPCI: 1.000
PE GPCI: 1.000
MP GPCI: 1.000

Next CPT checks

Related CPT codes

95913 95919 95922 95923 99214

Same specialty checks

Try nearby specialty codes without leaving the calculator

CPT 95921: 2.70 total RVU, $90.18 Medicare payment (National Average, NON-QPP)

Payment by representative localities

Locality	wRVU	Total RVU	Medicare Payment
National: National Average	0.88	2.70	$90.18
California: San Francisco	0.88	3.28	$109.51
California: Los Angeles	0.88	3.06	$102.31
New York: Manhattan	0.88	3.07	$102.48
New York: Rest of New York	0.88	2.86	$95.39
Texas: Dallas	0.88	2.70	$90.02
Texas: Houston	0.88	2.71	$90.50
Florida: Miami	0.88	2.83	$94.66

CPT 95921 code profile

CMS 2026 Physician Fee Schedule inputs for this CPT/HCPCS code, including the site-of-service assumption used for the payment examples on this page.

Descriptor

Autonomic nrv parasym inervj

Work RVU

0.88

PE RVU

1.78

MP RVU

0.04

Typical setting: Office / non-facility
Specialty mapping: ENT
Related codes: 95913, 95919, 95922, 95923, 99214

Interpretation notes

RVU components are payment inputs, not clinical coding guidance. Confirm code selection, modifiers, payer policy, and documentation requirements through the official CMS source files or billing review. Locality-adjusted estimates should be interpreted with the selected setting, GPCI locality, and QPP status held constant.

ENT benchmarks CPT 95913 CPT 95919 CPT 95922 CPT 95923 CPT 99214

How to interpret CPT 95921 RVU data

Use this panel to keep payment modeling, coding selection, and contract interpretation in separate lanes.

RVU source: CMS 2026 Physician Fee Schedule
Payment basis: Office / non-facility setting, national GPCI baseline
Conversion factor: 2026 non-QPP unless changed in the calculator

What this page can support

Estimating Medicare payment from RVU components and GPCI assumptions.
Comparing adjacent CPT codes after code selection is independently supported.
Linking CPT-level RVU values to specialty productivity and compensation models.

What should stay separate

It does not decide whether the CPT code is clinically or documentation-supported.
It does not replace payer-specific edits, modifier rules, or compliance review.
It should not be mixed with a different setting or locality when comparing codes.

CPT FAQ

Common RVU and payment questions for CPT 95921.

What is the wRVU for CPT 95921?

The imported CMS 2026 Physician Fee Schedule source files list 0.88 work RVU for CPT 95921.

What is the national payment estimate for CPT 95921?

Using national GPCI and the 2026 non-QPP conversion factor, the estimate is $90.18.

Does locality change the payment?

Yes. GPCI values adjust work, practice expense, and malpractice components by geography.