CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 53460 RVU and Medicare Payment (2026)
Revision of urethra — 7.56 work RVU, about $421.52 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 7.56
- PE RVU (non-facility)
- 4.07
- PE RVU (facility)
- 4.07
- MP RVU
- 0.99
- Office payment
- $421.52
- Facility payment
- $421.52
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 53460 in a non-facility setting with national GPCI: (7.56 + 4.07 + 0.99) × $33.4009 ≈ $421.52. The same code in a facility setting pays about $421.52 because facility PE RVU (4.07) replaces office PE RVU.
What changes by locality
GPCI moves 53460 non-facility payment from $386.31 to $541.76 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 53460?
7.56. 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 53460 in 2026?
About $421.52 non-facility ($421.52 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 (7.56) and malpractice RVU stay fixed; only practice expense changes (4.07 office vs 4.07 facility). That is the entire office-vs-facility payment gap.