CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 51960 RVU and Medicare Payment (2026)
Revision of bladder & bowel — 24.77 work RVU, about $1,236.84 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 24.77
- PE RVU (non-facility)
- 9.08
- PE RVU (facility)
- 9.08
- MP RVU
- 3.18
- Office payment
- $1,236.84
- Facility payment
- $1,236.84
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 51960 in a non-facility setting with national GPCI: (24.77 + 9.08 + 3.18) × $33.4009 ≈ $1,236.84. The same code in a facility setting pays about $1,236.84 because facility PE RVU (9.08) replaces office PE RVU.
What changes by locality
GPCI moves 51960 non-facility payment from $1,142.56 to $1,622.53 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 51960?
24.77. 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 51960 in 2026?
About $1,236.84 non-facility ($1,236.84 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 (24.77) and malpractice RVU stay fixed; only practice expense changes (9.08 office vs 9.08 facility). That is the entire office-vs-facility payment gap.