CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 52007 RVU and Medicare Payment (2026)
Cysto urtrl cathj brush bx — 2.94 work RVU, about $431.54 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 2.94
- PE RVU (non-facility)
- 9.58
- PE RVU (facility)
- 1.09
- MP RVU
- 0.4
- Office payment
- $431.54
- Facility payment
- $147.97
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 52007 in a non-facility setting with national GPCI: (2.94 + 9.58 + 0.4) × $33.4009 ≈ $431.54. The same code in a facility setting pays about $147.97 because facility PE RVU (1.09) replaces office PE RVU.
What changes by locality
GPCI moves 52007 non-facility payment from $379.94 to $577.57 across CMS localities — from Arkansas to San Jose-sunnyvale-santa Clara (san Benito Cnty). 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 52007?
2.94. 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 52007 in 2026?
About $431.54 non-facility ($147.97 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 (2.94) and malpractice RVU stay fixed; only practice expense changes (9.58 office vs 1.09 facility). That is the entire office-vs-facility payment gap.