CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 55877 RVU and Medicare Payment (2026)
Abltj ire prst8 1+ tum perq — 13.5 work RVU, about $671.36 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 13.5
- PE RVU (non-facility)
- 4.99
- PE RVU (facility)
- 4.99
- MP RVU
- 1.61
- Office payment
- $671.36
- Facility payment
- $671.36
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 55877 in a non-facility setting with national GPCI: (13.5 + 4.99 + 1.61) × $33.4009 ≈ $671.36. The same code in a facility setting pays about $671.36 because facility PE RVU (4.99) replaces office PE RVU.
What changes by locality
GPCI moves 55877 non-facility payment from $621.78 to $883.5 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 55877?
13.5. 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 55877 in 2026?
About $671.36 non-facility ($671.36 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 (13.5) and malpractice RVU stay fixed; only practice expense changes (4.99 office vs 4.99 facility). That is the entire office-vs-facility payment gap.