CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 52355 RVU and Medicare Payment (2026)
Cystouretero w/excise tumor — 8.78 work RVU, about $409.83 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 8.78
- PE RVU (non-facility)
- 2.36
- PE RVU (facility)
- 2.36
- MP RVU
- 1.13
- Office payment
- $409.83
- Facility payment
- $409.83
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 52355 in a non-facility setting with national GPCI: (8.78 + 2.36 + 1.13) × $33.4009 ≈ $409.83. The same code in a facility setting pays about $409.83 because facility PE RVU (2.36) replaces office PE RVU.
What changes by locality
GPCI moves 52355 non-facility payment from $380.28 to $544.64 across CMS localities — from Nebraska 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 52355?
8.78. 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 52355 in 2026?
About $409.83 non-facility ($409.83 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 (8.78) and malpractice RVU stay fixed; only practice expense changes (2.36 office vs 2.36 facility). That is the entire office-vs-facility payment gap.