CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 53860 RVU and Medicare Payment (2026)
Transurethral rf treatment — 3.87 work RVU, about $2,391.5 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 3.87
- PE RVU (non-facility)
- 67.25
- PE RVU (facility)
- 1.69
- MP RVU
- 0.48
- Office payment
- $2,391.5
- Facility payment
- $201.74
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 53860 in a non-facility setting with national GPCI: (3.87 + 67.25 + 0.48) × $33.4009 ≈ $2,391.5. The same code in a facility setting pays about $201.74 because facility PE RVU (1.69) replaces office PE RVU.
What changes by locality
GPCI moves 53860 non-facility payment from $2,067.01 to $3,391.11 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 53860?
3.87. 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 53860 in 2026?
About $2,391.5 non-facility ($201.74 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 (3.87) and malpractice RVU stay fixed; only practice expense changes (67.25 office vs 1.69 facility). That is the entire office-vs-facility payment gap.