CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 49550 RVU and Medicare Payment (2026)
Rpr rem hernia init reduce — 8.77 work RVU, about $558.46 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 8.77
- PE RVU (non-facility)
- 5.65
- PE RVU (facility)
- 5.65
- MP RVU
- 2.3
- Office payment
- $558.46
- Facility payment
- $558.46
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 49550 in a non-facility setting with national GPCI: (8.77 + 5.65 + 2.3) × $33.4009 ≈ $558.46. The same code in a facility setting pays about $558.46 because facility PE RVU (5.65) replaces office PE RVU.
What changes by locality
GPCI moves 49550 non-facility payment from $494.6 to $683.66 across CMS localities — from Arkansas to Miami. 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 49550?
8.77. 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 49550 in 2026?
About $558.46 non-facility ($558.46 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 (8.77) and malpractice RVU stay fixed; only practice expense changes (5.65 office vs 5.65 facility). That is the entire office-vs-facility payment gap.