CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 51880 RVU and Medicare Payment (2026)
Repair of bladder opening — 7.67 work RVU, about $429.54 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 7.67
- PE RVU (non-facility)
- 4.08
- PE RVU (facility)
- 4.08
- MP RVU
- 1.11
- Office payment
- $429.54
- Facility payment
- $429.54
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 51880 in a non-facility setting with national GPCI: (7.67 + 4.08 + 1.11) × $33.4009 ≈ $429.54. The same code in a facility setting pays about $429.54 because facility PE RVU (4.08) replaces office PE RVU.
What changes by locality
GPCI moves 51880 non-facility payment from $392.34 to $549.84 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 51880?
7.67. 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 51880 in 2026?
About $429.54 non-facility ($429.54 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 (7.67) and malpractice RVU stay fixed; only practice expense changes (4.08 office vs 4.08 facility). That is the entire office-vs-facility payment gap.