CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 51530 RVU and Medicare Payment (2026)
Removal of bladder lesion — 13.37 work RVU, about $696.41 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 13.37
- PE RVU (non-facility)
- 5.76
- PE RVU (facility)
- 5.76
- MP RVU
- 1.72
- Office payment
- $696.41
- Facility payment
- $696.41
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 51530 in a non-facility setting with national GPCI: (13.37 + 5.76 + 1.72) × $33.4009 ≈ $696.41. The same code in a facility setting pays about $696.41 because facility PE RVU (5.76) replaces office PE RVU.
What changes by locality
GPCI moves 51530 non-facility payment from $641.42 to $906.4 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 51530?
13.37. 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 51530 in 2026?
About $696.41 non-facility ($696.41 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 (13.37) and malpractice RVU stay fixed; only practice expense changes (5.76 office vs 5.76 facility). That is the entire office-vs-facility payment gap.