CPT code 418212026 Medicare rate & RVUs in Illinois

CPT 41821 pays $0.00 in the office and $0.00 in a facility in Illinois under the 2026 Medicare fee schedule. Locality math, rate history and payer benchmarks.

CMS RVU26DEffective Oct 1, 20264 payment localities

Medicare pays $0.00 for 41821 in the office in Illinois (Chicago). Which amount applies depends on the service address.

$0.00Office (non-facility)
$0.00Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 41821 for the payment locality that covers the ZIP.

On this page 5 sections
  1. Rate in Illinois
  2. By payment locality
  3. How it’s calculated
  4. Payment rules
  5. Sources

Where 41821 pays more and less in Illinois

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

4 payment localities

$0.00 to $0.00

$0.00$0.50$0.00
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.
41821 office and facility rates by payment locality
Payment localityOfficeFacility
Chicago$0.00$0.00
East St. Louis$0.00$0.00
Rest Of Illinois$0.00$0.00
Suburban Chicago$0.00$0.00

How the 41821 rate is calculated

Each of 41821’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 41821

RVUs × geographic indexes × conversion factor

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 41821

The CMS indicators that decide how 41821 is paid alongside other services.

CMS payment indicators · 41821

Code 41821

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

41821 without 51 · national office

$0.00

41821-51 · Second procedure: 50%

$0.00

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 41821PPRRVU2026_Oct_nonQPP.csv, line 4,964 (RVU26D)

Open CMS sourceHow we calculate rates

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