CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 51060 RVU and Medicare Payment (2026)
Removal of ureter stone — 9.7 work RVU, about $533.08 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 9.7
- PE RVU (non-facility)
- 5.01
- PE RVU (facility)
- 5.01
- MP RVU
- 1.25
- Office payment
- $533.08
- Facility payment
- $533.08
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 51060 in a non-facility setting with national GPCI: (9.7 + 5.01 + 1.25) × $33.4009 ≈ $533.08. The same code in a facility setting pays about $533.08 because facility PE RVU (5.01) replaces office PE RVU.
What changes by locality
GPCI moves 51060 non-facility payment from $489.23 to $687.2 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 51060?
9.7. 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 51060 in 2026?
About $533.08 non-facility ($533.08 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 (9.7) and malpractice RVU stay fixed; only practice expense changes (5.01 office vs 5.01 facility). That is the entire office-vs-facility payment gap.