CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 50250 RVU and Medicare Payment (2026)
Opn abltj 1/> rnl mas crysrg — 21.66 work RVU, about $1,088.2 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 21.66
- PE RVU (non-facility)
- 8.14
- PE RVU (facility)
- 8.14
- MP RVU
- 2.78
- Office payment
- $1,088.2
- Facility payment
- $1,088.2
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 50250 in a non-facility setting with national GPCI: (21.66 + 8.14 + 2.78) × $33.4009 ≈ $1,088.2. The same code in a facility setting pays about $1,088.2 because facility PE RVU (8.14) replaces office PE RVU.
What changes by locality
GPCI moves 50250 non-facility payment from $1,004.83 to $1,425.91 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 50250?
21.66. 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 50250 in 2026?
About $1,088.2 non-facility ($1,088.2 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 (21.66) and malpractice RVU stay fixed; only practice expense changes (8.14 office vs 8.14 facility). That is the entire office-vs-facility payment gap.