CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 54360 RVU and Medicare Payment (2026)
Penis plastic surgery — 12.46 work RVU, about $652.99 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 12.46
- PE RVU (non-facility)
- 5.48
- PE RVU (facility)
- 5.48
- MP RVU
- 1.61
- Office payment
- $652.99
- Facility payment
- $652.99
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 54360 in a non-facility setting with national GPCI: (12.46 + 5.48 + 1.61) × $33.4009 ≈ $652.99. The same code in a facility setting pays about $652.99 because facility PE RVU (5.48) replaces office PE RVU.
What changes by locality
GPCI moves 54360 non-facility payment from $601.1 to $848.83 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 54360?
12.46. 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 54360 in 2026?
About $652.99 non-facility ($652.99 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 (12.46) and malpractice RVU stay fixed; only practice expense changes (5.48 office vs 5.48 facility). That is the entire office-vs-facility payment gap.