CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 52305 RVU and Medicare Payment (2026)
Cystoscopy and treatment — 5.17 work RVU, about $244.83 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 5.17
- PE RVU (non-facility)
- 1.5
- PE RVU (facility)
- 1.5
- MP RVU
- 0.66
- Office payment
- $244.83
- Facility payment
- $244.83
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 52305 in a non-facility setting with national GPCI: (5.17 + 1.5 + 0.66) × $33.4009 ≈ $244.83. The same code in a facility setting pays about $244.83 because facility PE RVU (1.5) replaces office PE RVU.
What changes by locality
GPCI moves 52305 non-facility payment from $227.07 to $324.53 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 52305?
5.17. 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 52305 in 2026?
About $244.83 non-facility ($244.83 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 (5.17) and malpractice RVU stay fixed; only practice expense changes (1.5 office vs 1.5 facility). That is the entire office-vs-facility payment gap.