CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 50225 RVU and Medicare Payment (2026)
Removal kidney open complex — 21.33 work RVU, about $1,059.48 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 21.33
- PE RVU (non-facility)
- 7.64
- PE RVU (facility)
- 7.64
- MP RVU
- 2.75
- Office payment
- $1,059.48
- Facility payment
- $1,059.48
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 50225 in a non-facility setting with national GPCI: (21.33 + 7.64 + 2.75) × $33.4009 ≈ $1,059.48. The same code in a facility setting pays about $1,059.48 because facility PE RVU (7.64) replaces office PE RVU.
What changes by locality
GPCI moves 50225 non-facility payment from $978.95 to $1,391.04 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 50225?
21.33. 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 50225 in 2026?
About $1,059.48 non-facility ($1,059.48 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 (21.33) and malpractice RVU stay fixed; only practice expense changes (7.64 office vs 7.64 facility). That is the entire office-vs-facility payment gap.