CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 52234 RVU and Medicare Payment (2026)
Cystoscopy and treatment — 4.5 work RVU, about $216.77 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 4.5
- PE RVU (non-facility)
- 1.42
- PE RVU (facility)
- 1.42
- MP RVU
- 0.57
- Office payment
- $216.77
- Facility payment
- $216.77
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 52234 in a non-facility setting with national GPCI: (4.5 + 1.42 + 0.57) × $33.4009 ≈ $216.77. The same code in a facility setting pays about $216.77 because facility PE RVU (1.42) replaces office PE RVU.
What changes by locality
GPCI moves 52234 non-facility payment from $200.85 to $286.46 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 52234?
4.5. 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 52234 in 2026?
About $216.77 non-facility ($216.77 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 (4.5) and malpractice RVU stay fixed; only practice expense changes (1.42 office vs 1.42 facility). That is the entire office-vs-facility payment gap.