CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 55862 RVU and Medicare Payment (2026)
Extensive prostate surgery — 19.54 work RVU, about $981.32 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 19.54
- PE RVU (non-facility)
- 7.33
- PE RVU (facility)
- 7.33
- MP RVU
- 2.51
- Office payment
- $981.32
- Facility payment
- $981.32
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 55862 in a non-facility setting with national GPCI: (19.54 + 7.33 + 2.51) × $33.4009 ≈ $981.32. The same code in a facility setting pays about $981.32 because facility PE RVU (7.33) replaces office PE RVU.
What changes by locality
GPCI moves 55862 non-facility payment from $906.14 to $1,285.92 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 55862?
19.54. 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 55862 in 2026?
About $981.32 non-facility ($981.32 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 (19.54) and malpractice RVU stay fixed; only practice expense changes (7.33 office vs 7.33 facility). That is the entire office-vs-facility payment gap.