CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 54550 RVU and Medicare Payment (2026)
Exploration for testis — 8.2 work RVU, about $451.58 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 8.2
- PE RVU (non-facility)
- 4.25
- PE RVU (facility)
- 4.25
- MP RVU
- 1.07
- Office payment
- $451.58
- Facility payment
- $451.58
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 54550 in a non-facility setting with national GPCI: (8.2 + 4.25 + 1.07) × $33.4009 ≈ $451.58. The same code in a facility setting pays about $451.58 because facility PE RVU (4.25) replaces office PE RVU.
What changes by locality
GPCI moves 54550 non-facility payment from $414.23 to $581.7 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 54550?
8.2. 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 54550 in 2026?
About $451.58 non-facility ($451.58 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 (8.2) and malpractice RVU stay fixed; only practice expense changes (4.25 office vs 4.25 facility). That is the entire office-vs-facility payment gap.