CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 55873 RVU and Medicare Payment (2026)
Cryoablate prostate — 13.26 work RVU, about $5,691.51 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 13.26
- PE RVU (non-facility)
- 155.45
- PE RVU (facility)
- 5.66
- MP RVU
- 1.69
- Office payment
- $5,691.51
- Facility payment
- $688.39
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 55873 in a non-facility setting with national GPCI: (13.26 + 155.45 + 1.69) × $33.4009 ≈ $5,691.51. The same code in a facility setting pays about $688.39 because facility PE RVU (5.66) replaces office PE RVU.
What changes by locality
GPCI moves 55873 non-facility payment from $4,932.04 to $8,008.98 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 55873?
13.26. 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 55873 in 2026?
About $5,691.51 non-facility ($688.39 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 (13.26) and malpractice RVU stay fixed; only practice expense changes (155.45 office vs 5.66 facility). That is the entire office-vs-facility payment gap.