CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31

CPT 51590 RVU and Medicare Payment (2026)

Remove bladder/revise tract — 35.42 work RVU, about $1,711.8 non-facility Medicare payment at the 2026 conversion factor.

Work RVU
35.42
PE RVU (non-facility)
11.12
PE RVU (facility)
11.12
MP RVU
4.71
Office payment
$1,711.8
Facility payment
$1,711.8

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 51590 in a non-facility setting with national GPCI: (35.42 + 11.12 + 4.71) × $33.4009 ≈ $1,711.8. The same code in a facility setting pays about $1,711.8 because facility PE RVU (11.12) replaces office PE RVU.

What changes by locality

GPCI moves 51590 non-facility payment from $1,583.13 to $2,256.83 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 51590?

35.42. 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 51590 in 2026?

About $1,711.8 non-facility ($1,711.8 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 (35.42) and malpractice RVU stay fixed; only practice expense changes (11.12 office vs 11.12 facility). That is the entire office-vs-facility payment gap.