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

CPT 51992 RVU and Medicare Payment (2026)

Laparo sling operation — 14.5 work RVU, about $746.51 non-facility Medicare payment at the 2026 conversion factor.

Work RVU
14.5
PE RVU (non-facility)
5.47
PE RVU (facility)
5.47
MP RVU
2.38
Office payment
$746.51
Facility payment
$746.51

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 51992 in a non-facility setting with national GPCI: (14.5 + 5.47 + 2.38) × $33.4009 ≈ $746.51. The same code in a facility setting pays about $746.51 because facility PE RVU (5.47) replaces office PE RVU.

What changes by locality

GPCI moves 51992 non-facility payment from $682.19 to $964.85 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 51992?

14.5. 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 51992 in 2026?

About $746.51 non-facility ($746.51 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 (14.5) and malpractice RVU stay fixed; only practice expense changes (5.47 office vs 5.47 facility). That is the entire office-vs-facility payment gap.