CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 52443 RVU and Medicare Payment (2026)
Cysto 1st trurl prst8 comis — 3.62 work RVU, about $5,904.28 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 3.62
- PE RVU (non-facility)
- 172.69
- PE RVU (facility)
- 1.08
- MP RVU
- 0.46
- Office payment
- $5,904.28
- Facility payment
- $172.35
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 52443 in a non-facility setting with national GPCI: (3.62 + 172.69 + 0.46) × $33.4009 ≈ $5,904.28. The same code in a facility setting pays about $172.35 because facility PE RVU (1.08) replaces office PE RVU.
What changes by locality
GPCI moves 52443 non-facility payment from $5,083.54 to $8,459.9 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 52443?
3.62. 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 52443 in 2026?
About $5,904.28 non-facility ($172.35 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 (3.62) and malpractice RVU stay fixed; only practice expense changes (172.69 office vs 1.08 facility). That is the entire office-vs-facility payment gap.