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

CPT 52010 RVU and Medicare Payment (2026)

Cystoscopy & duct catheter — 2.94 work RVU, about $365.07 non-facility Medicare payment at the 2026 conversion factor.

Work RVU
2.94
PE RVU (non-facility)
7.61
PE RVU (facility)
1.09
MP RVU
0.38
Office payment
$365.07
Facility payment
$147.3

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 52010 in a non-facility setting with national GPCI: (2.94 + 7.61 + 0.38) × $33.4009 ≈ $365.07. The same code in a facility setting pays about $147.3 because facility PE RVU (1.09) replaces office PE RVU.

What changes by locality

GPCI moves 52010 non-facility payment from $323.08 to $482.33 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 52010?

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 52010 in 2026?

About $365.07 non-facility ($147.3 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 (7.61 office vs 1.09 facility). That is the entire office-vs-facility payment gap.