CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 53215 RVU and Medicare Payment (2026)
Removal of urethra — 16.43 work RVU, about $832.68 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 16.43
- PE RVU (non-facility)
- 6.37
- PE RVU (facility)
- 6.37
- MP RVU
- 2.13
- Office payment
- $832.68
- Facility payment
- $832.68
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 53215 in a non-facility setting with national GPCI: (16.43 + 6.37 + 2.13) × $33.4009 ≈ $832.68. The same code in a facility setting pays about $832.68 because facility PE RVU (6.37) replaces office PE RVU.
What changes by locality
GPCI moves 53215 non-facility payment from $768.18 to $1,088.96 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 53215?
16.43. 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 53215 in 2026?
About $832.68 non-facility ($832.68 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 (16.43) and malpractice RVU stay fixed; only practice expense changes (6.37 office vs 6.37 facility). That is the entire office-vs-facility payment gap.