CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 50605 RVU and Medicare Payment (2026)
Insert ureteral support — 16.37 work RVU, about $935.89 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 16.37
- PE RVU (non-facility)
- 7.79
- PE RVU (facility)
- 7.79
- MP RVU
- 3.86
- Office payment
- $935.89
- Facility payment
- $935.89
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 50605 in a non-facility setting with national GPCI: (16.37 + 7.79 + 3.86) × $33.4009 ≈ $935.89. The same code in a facility setting pays about $935.89 because facility PE RVU (7.79) replaces office PE RVU.
What changes by locality
GPCI moves 50605 non-facility payment from $835.67 to $1,168.3 across CMS localities — from Nebraska 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 50605?
16.37. 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 50605 in 2026?
About $935.89 non-facility ($935.89 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 (16.37) and malpractice RVU stay fixed; only practice expense changes (7.79 office vs 7.79 facility). That is the entire office-vs-facility payment gap.