CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 50860 RVU and Medicare Payment (2026)
Transplant ureter to skin — 16.65 work RVU, about $850.39 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 16.65
- PE RVU (non-facility)
- 6.67
- PE RVU (facility)
- 6.67
- MP RVU
- 2.14
- Office payment
- $850.39
- Facility payment
- $850.39
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 50860 in a non-facility setting with national GPCI: (16.65 + 6.67 + 2.14) × $33.4009 ≈ $850.39. The same code in a facility setting pays about $850.39 because facility PE RVU (6.67) replaces office PE RVU.
What changes by locality
GPCI moves 50860 non-facility payment from $784.31 to $1,110.84 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 50860?
16.65. 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 50860 in 2026?
About $850.39 non-facility ($850.39 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 (16.65) and malpractice RVU stay fixed; only practice expense changes (6.67 office vs 6.67 facility). That is the entire office-vs-facility payment gap.