CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 52441 RVU and Medicare Payment (2026)
Cysto insj trnsprstc 1 implt — 3.9 work RVU, about $1,245.19 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 3.9
- PE RVU (non-facility)
- 32.9
- PE RVU (facility)
- 1.13
- MP RVU
- 0.48
- Office payment
- $1,245.19
- Facility payment
- $184.04
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 52441 in a non-facility setting with national GPCI: (3.9 + 32.9 + 0.48) × $33.4009 ≈ $1,245.19. The same code in a facility setting pays about $184.04 because facility PE RVU (1.13) replaces office PE RVU.
What changes by locality
GPCI moves 52441 non-facility payment from $1,082.47 to $1,737.78 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 52441?
3.9. 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 52441 in 2026?
About $1,245.19 non-facility ($184.04 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 (3.9) and malpractice RVU stay fixed; only practice expense changes (32.9 office vs 1.13 facility). That is the entire office-vs-facility payment gap.