CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 50972 RVU and Medicare Payment (2026)
Ureter endoscopy & catheter — 6.71 work RVU, about $314.3 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 6.71
- PE RVU (non-facility)
- 1.83
- PE RVU (facility)
- 1.83
- MP RVU
- 0.87
- Office payment
- $314.3
- Facility payment
- $314.3
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 50972 in a non-facility setting with national GPCI: (6.71 + 1.83 + 0.87) × $33.4009 ≈ $314.3. The same code in a facility setting pays about $314.3 because facility PE RVU (1.83) replaces office PE RVU.
What changes by locality
GPCI moves 50972 non-facility payment from $291.52 to $417.29 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 50972?
6.71. 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 50972 in 2026?
About $314.3 non-facility ($314.3 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 (6.71) and malpractice RVU stay fixed; only practice expense changes (1.83 office vs 1.83 facility). That is the entire office-vs-facility payment gap.