CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 53210 RVU and Medicare Payment (2026)
Removal of urethra — 13.38 work RVU, about $695.74 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 13.38
- PE RVU (non-facility)
- 5.73
- PE RVU (facility)
- 5.73
- MP RVU
- 1.72
- Office payment
- $695.74
- Facility payment
- $695.74
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 53210 in a non-facility setting with national GPCI: (13.38 + 5.73 + 1.72) × $33.4009 ≈ $695.74. The same code in a facility setting pays about $695.74 because facility PE RVU (5.73) replaces office PE RVU.
What changes by locality
GPCI moves 53210 non-facility payment from $640.89 to $905.84 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 53210?
13.38. 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 53210 in 2026?
About $695.74 non-facility ($695.74 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 (13.38) and malpractice RVU stay fixed; only practice expense changes (5.73 office vs 5.73 facility). That is the entire office-vs-facility payment gap.