CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 53500 RVU and Medicare Payment (2026)
Urethrlys transvag w/ scope — 12.68 work RVU, about $672.69 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 12.68
- PE RVU (non-facility)
- 5.53
- PE RVU (facility)
- 5.53
- MP RVU
- 1.93
- Office payment
- $672.69
- Facility payment
- $672.69
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 53500 in a non-facility setting with national GPCI: (12.68 + 5.53 + 1.93) × $33.4009 ≈ $672.69. The same code in a facility setting pays about $672.69 because facility PE RVU (5.53) replaces office PE RVU.
What changes by locality
GPCI moves 53500 non-facility payment from $615.39 to $867.52 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 53500?
12.68. 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 53500 in 2026?
About $672.69 non-facility ($672.69 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 (12.68) and malpractice RVU stay fixed; only practice expense changes (5.53 office vs 5.53 facility). That is the entire office-vs-facility payment gap.