CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 50930 RVU and Medicare Payment (2026)
Closure ureter/bowel fistula — 19.69 work RVU, about $985.99 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 19.69
- PE RVU (non-facility)
- 7.3
- PE RVU (facility)
- 7.3
- MP RVU
- 2.53
- Office payment
- $985.99
- Facility payment
- $985.99
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 50930 in a non-facility setting with national GPCI: (19.69 + 7.3 + 2.53) × $33.4009 ≈ $985.99. The same code in a facility setting pays about $985.99 because facility PE RVU (7.3) replaces office PE RVU.
What changes by locality
GPCI moves 50930 non-facility payment from $910.63 to $1,292.73 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 50930?
19.69. 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 50930 in 2026?
About $985.99 non-facility ($985.99 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 (19.69) and malpractice RVU stay fixed; only practice expense changes (7.3 office vs 7.3 facility). That is the entire office-vs-facility payment gap.