CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 50220 RVU and Medicare Payment (2026)
Remove kidney open — 18.21 work RVU, about $963.28 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 18.21
- PE RVU (non-facility)
- 7.59
- PE RVU (facility)
- 7.59
- MP RVU
- 3.04
- Office payment
- $963.28
- Facility payment
- $963.28
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 50220 in a non-facility setting with national GPCI: (18.21 + 7.59 + 3.04) × $33.4009 ≈ $963.28. The same code in a facility setting pays about $963.28 because facility PE RVU (7.59) replaces office PE RVU.
What changes by locality
GPCI moves 50220 non-facility payment from $878.29 to $1,238.28 across CMS localities — from Arkansas to Alaska. 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 50220?
18.21. 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 50220 in 2026?
About $963.28 non-facility ($963.28 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 (18.21) and malpractice RVU stay fixed; only practice expense changes (7.59 office vs 7.59 facility). That is the entire office-vs-facility payment gap.