CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 52630 RVU and Medicare Payment (2026)
Remove prostate regrowth — 6.39 work RVU, about $376.09 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 6.39
- PE RVU (non-facility)
- 4.04
- PE RVU (facility)
- 4.04
- MP RVU
- 0.83
- Office payment
- $376.09
- Facility payment
- $376.09
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 52630 in a non-facility setting with national GPCI: (6.39 + 4.04 + 0.83) × $33.4009 ≈ $376.09. The same code in a facility setting pays about $376.09 because facility PE RVU (4.04) replaces office PE RVU.
What changes by locality
GPCI moves 52630 non-facility payment from $343.62 to $479.13 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 52630?
6.39. 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 52630 in 2026?
About $376.09 non-facility ($376.09 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 (6.39) and malpractice RVU stay fixed; only practice expense changes (4.04 office vs 4.04 facility). That is the entire office-vs-facility payment gap.