CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 50386 RVU and Medicare Payment (2026)
Remove stent via transureth — 2.97 work RVU, about $752.52 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 2.97
- PE RVU (non-facility)
- 19.18
- PE RVU (facility)
- 0.96
- MP RVU
- 0.38
- Office payment
- $752.52
- Facility payment
- $143.96
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 50386 in a non-facility setting with national GPCI: (2.97 + 19.18 + 0.38) × $33.4009 ≈ $752.52. The same code in a facility setting pays about $143.96 because facility PE RVU (0.96) replaces office PE RVU.
What changes by locality
GPCI moves 50386 non-facility payment from $656.04 to $1,040.7 across CMS localities — from Arkansas to San Jose-sunnyvale-santa Clara (san Benito Cnty). 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 50386?
2.97. 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 50386 in 2026?
About $752.52 non-facility ($143.96 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 (2.97) and malpractice RVU stay fixed; only practice expense changes (19.18 office vs 0.96 facility). That is the entire office-vs-facility payment gap.