CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 52284 RVU and Medicare Payment (2026)
Cysto rx balo cath urtl strx — 3.02 work RVU, about $2,682.76 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 3.02
- PE RVU (non-facility)
- 76.91
- PE RVU (facility)
- 0.96
- MP RVU
- 0.39
- Office payment
- $2,682.76
- Facility payment
- $145.96
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 52284 in a non-facility setting with national GPCI: (3.02 + 76.91 + 0.39) × $33.4009 ≈ $2,682.76. The same code in a facility setting pays about $145.96 because facility PE RVU (0.96) replaces office PE RVU.
What changes by locality
GPCI moves 52284 non-facility payment from $2,314.23 to $3,823.25 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 52284?
3.02. 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 52284 in 2026?
About $2,682.76 non-facility ($145.96 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 (3.02) and malpractice RVU stay fixed; only practice expense changes (76.91 office vs 0.96 facility). That is the entire office-vs-facility payment gap.