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Describe a service in plain words, or type a CPT/HCPCS code.

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Medicare expected-payment calculator

Enter a billing code, the service-location ZIP and the date of service. Get the Medicare allowed amount, how it splits between Medicare and coinsurance, and the CMS evidence behind each figure.

Claim details

CPT / HCPCS code
Service location
ZIP
Locality

Leave blank for the national baseline.

Date of service
Date of service
CMS release

CMS release: 2026 C

Place of service Office (non-facility) Facility
Modifiers: None
Supplied modifier

Select a supplied modifier. Click it again to remove it.

Enter a valid code to see which modifiers apply.
Enter a valid code to see which modifiers apply.
Enter a valid code to see which modifiers apply.
Enter a valid code to see which modifiers apply.
Enter a valid code to see which modifiers apply.
Enter a valid code to see which modifiers apply.
Enter a valid code to see which modifiers apply.
Enter a valid code to see which modifiers apply.
Enter a valid code to see which modifiers apply.

Single-line modifiers only. Pricing -51? Use the MPPR calculator.

Payment answer

No amount found for RVU21D

Code RVU21D is not in the 2026 C release.

The available evidence does not establish a $0 allowance. Release 2026 C

View the CMS evidence
Code
RVU21D
DOS
Not supplied
Locality
National (GPCI 1.000)
Service ZIP
Not supplied
Setting
Office (non-facility)
Participation
Participating provider
Modifiers
None
Units
1
Release
Q3 2026, revision 1
Sequestration
Shown separately from the allowed amount

Code RVU21D is not in the 2026 C release.

Citations

  • No matching base record in the selected PFS release.

    Physician relative value file (PPRRVU)

    Q3 2026 · revision 1

    Latest revision of this release

    Release period: July 1 – September 30, 2026

    Zero matching rows for code RVU21D with blank modifier in PPRRVU2026_Jul_nonQPP.csv, Q3 2026, revision 1.

    An absent PFS record does not establish a $0 allowance or a coverage determination.

    Record details PPRRVU2026_Jul_nonQPP.csv in rvu26c-updated-06-30-2026.zip

    SHA-256: b7d197e73211ef6854c213c267d5fa9dec8df995db8e1ee7d44c0556ad7cee21

    Original source file

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