CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 51845 RVU and Medicare Payment (2026)
Repair bladder neck — 9.9 work RVU, about $530.41 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 9.9
- PE RVU (non-facility)
- 4.7
- PE RVU (facility)
- 4.7
- MP RVU
- 1.28
- Office payment
- $530.41
- Facility payment
- $530.41
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 51845 in a non-facility setting with national GPCI: (9.9 + 4.7 + 1.28) × $33.4009 ≈ $530.41. The same code in a facility setting pays about $530.41 because facility PE RVU (4.7) replaces office PE RVU.
What changes by locality
GPCI moves 51845 non-facility payment from $487.54 to $686.75 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 51845?
9.9. 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 51845 in 2026?
About $530.41 non-facility ($530.41 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 (9.9) and malpractice RVU stay fixed; only practice expense changes (4.7 office vs 4.7 facility). That is the entire office-vs-facility payment gap.