CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 52700 RVU and Medicare Payment (2026)
Drainage of prostate abscess — 7.3 work RVU, about $405.49 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 7.3
- PE RVU (non-facility)
- 3.91
- PE RVU (facility)
- 3.91
- MP RVU
- 0.93
- Office payment
- $405.49
- Facility payment
- $405.49
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 52700 in a non-facility setting with national GPCI: (7.3 + 3.91 + 0.93) × $33.4009 ≈ $405.49. The same code in a facility setting pays about $405.49 because facility PE RVU (3.91) replaces office PE RVU.
What changes by locality
GPCI moves 52700 non-facility payment from $372.01 to $521.94 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 52700?
7.3. 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 52700 in 2026?
About $405.49 non-facility ($405.49 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 (7.3) and malpractice RVU stay fixed; only practice expense changes (3.91 office vs 3.91 facility). That is the entire office-vs-facility payment gap.