CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 53442 RVU and Medicare Payment (2026)
Remove/revise male sling — 13.15 work RVU, about $716.45 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 13.15
- PE RVU (non-facility)
- 6.61
- PE RVU (facility)
- 6.61
- MP RVU
- 1.69
- Office payment
- $716.45
- Facility payment
- $716.45
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 53442 in a non-facility setting with national GPCI: (13.15 + 6.61 + 1.69) × $33.4009 ≈ $716.45. The same code in a facility setting pays about $716.45 because facility PE RVU (6.61) replaces office PE RVU.
What changes by locality
GPCI moves 53442 non-facility payment from $657.94 to $925.07 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 53442?
13.15. 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 53442 in 2026?
About $716.45 non-facility ($716.45 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 (13.15) and malpractice RVU stay fixed; only practice expense changes (6.61 office vs 6.61 facility). That is the entire office-vs-facility payment gap.