CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31

CPT 53060 RVU and Medicare Payment (2026)

Drainage of urethra abscess — 2.61 work RVU, about $190.72 non-facility Medicare payment at the 2026 conversion factor.

Work RVU
2.61
PE RVU (non-facility)
2.65
PE RVU (facility)
1.4
MP RVU
0.45
Office payment
$190.72
Facility payment
$148.97

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 53060 in a non-facility setting with national GPCI: (2.61 + 2.65 + 0.45) × $33.4009 ≈ $190.72. The same code in a facility setting pays about $148.97 because facility PE RVU (1.4) replaces office PE RVU.

What changes by locality

GPCI moves 53060 non-facility payment from $170.95 to $233.31 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 53060?

2.61. 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 53060 in 2026?

About $190.72 non-facility ($148.97 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 (2.61) and malpractice RVU stay fixed; only practice expense changes (2.65 office vs 1.4 facility). That is the entire office-vs-facility payment gap.