CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 51820 RVU and Medicare Payment (2026)
Revision of urinary tract — 19.1 work RVU, about $974.97 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 19.1
- PE RVU (non-facility)
- 7.62
- PE RVU (facility)
- 7.62
- MP RVU
- 2.47
- Office payment
- $974.97
- Facility payment
- $974.97
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 51820 in a non-facility setting with national GPCI: (19.1 + 7.62 + 2.47) × $33.4009 ≈ $974.97. The same code in a facility setting pays about $974.97 because facility PE RVU (7.62) replaces office PE RVU.
What changes by locality
GPCI moves 51820 non-facility payment from $899.07 to $1,273.45 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 51820?
19.1. 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 51820 in 2026?
About $974.97 non-facility ($974.97 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 (19.1) and malpractice RVU stay fixed; only practice expense changes (7.62 office vs 7.62 facility). That is the entire office-vs-facility payment gap.