CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 54110 RVU and Medicare Payment (2026)
Treatment of penis lesion — 10.65 work RVU, about $568.48 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 10.65
- PE RVU (non-facility)
- 5.01
- PE RVU (facility)
- 5.01
- MP RVU
- 1.36
- Office payment
- $568.48
- Facility payment
- $568.48
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 54110 in a non-facility setting with national GPCI: (10.65 + 5.01 + 1.36) × $33.4009 ≈ $568.48. The same code in a facility setting pays about $568.48 because facility PE RVU (5.01) replaces office PE RVU.
What changes by locality
GPCI moves 54110 non-facility payment from $522.86 to $736.82 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 54110?
10.65. 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 54110 in 2026?
About $568.48 non-facility ($568.48 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 (10.65) and malpractice RVU stay fixed; only practice expense changes (5.01 office vs 5.01 facility). That is the entire office-vs-facility payment gap.