CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 52285 RVU and Medicare Payment (2026)
Cystoscopy and treatment — 3.51 work RVU, about $325.99 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 3.51
- PE RVU (non-facility)
- 5.76
- PE RVU (facility)
- 1.19
- MP RVU
- 0.49
- Office payment
- $325.99
- Facility payment
- $173.35
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 52285 in a non-facility setting with national GPCI: (3.51 + 5.76 + 0.49) × $33.4009 ≈ $325.99. The same code in a facility setting pays about $173.35 because facility PE RVU (1.19) replaces office PE RVU.
What changes by locality
GPCI moves 52285 non-facility payment from $290.93 to $416.33 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 52285?
3.51. 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 52285 in 2026?
About $325.99 non-facility ($173.35 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 (3.51) and malpractice RVU stay fixed; only practice expense changes (5.76 office vs 1.19 facility). That is the entire office-vs-facility payment gap.