CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 53850 RVU and Medicare Payment (2026)
Prostatic microwave thermotx — 5.28 work RVU, about $1,427.22 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 5.28
- PE RVU (non-facility)
- 36.78
- PE RVU (facility)
- 3.96
- MP RVU
- 0.67
- Office payment
- $1,427.22
- Facility payment
- $331
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 53850 in a non-facility setting with national GPCI: (5.28 + 36.78 + 0.67) × $33.4009 ≈ $1,427.22. The same code in a facility setting pays about $331 because facility PE RVU (3.96) replaces office PE RVU.
What changes by locality
GPCI moves 53850 non-facility payment from $1,243.15 to $1,979.23 across CMS localities — from Arkansas to San Jose-sunnyvale-santa Clara (san Benito Cnty). 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 53850?
5.28. 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 53850 in 2026?
About $1,427.22 non-facility ($331 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 (5.28) and malpractice RVU stay fixed; only practice expense changes (36.78 office vs 3.96 facility). That is the entire office-vs-facility payment gap.