CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 52260 RVU and Medicare Payment (2026)
Cystoscopy and treatment — 3.81 work RVU, about $185.71 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 3.81
- PE RVU (non-facility)
- 1.24
- PE RVU (facility)
- 1.24
- MP RVU
- 0.51
- Office payment
- $185.71
- Facility payment
- $185.71
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 52260 in a non-facility setting with national GPCI: (3.81 + 1.24 + 0.51) × $33.4009 ≈ $185.71. The same code in a facility setting pays about $185.71 because facility PE RVU (1.24) replaces office PE RVU.
What changes by locality
GPCI moves 52260 non-facility payment from $171.61 to $244.38 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 52260?
3.81. 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 52260 in 2026?
About $185.71 non-facility ($185.71 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 (3.81) and malpractice RVU stay fixed; only practice expense changes (1.24 office vs 1.24 facility). That is the entire office-vs-facility payment gap.