CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 57291 RVU and Medicare Payment (2026)
Construction of vagina — 8.42 work RVU, about $488.32 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 8.42
- PE RVU (non-facility)
- 4.73
- PE RVU (facility)
- 4.73
- MP RVU
- 1.47
- Office payment
- $488.32
- Facility payment
- $488.32
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 57291 in a non-facility setting with national GPCI: (8.42 + 4.73 + 1.47) × $33.4009 ≈ $488.32. The same code in a facility setting pays about $488.32 because facility PE RVU (4.73) replaces office PE RVU.
What changes by locality
GPCI moves 57291 non-facility payment from $442.23 to $617.16 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 57291?
8.42. 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 57291 in 2026?
About $488.32 non-facility ($488.32 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 (8.42) and malpractice RVU stay fixed; only practice expense changes (4.73 office vs 4.73 facility). That is the entire office-vs-facility payment gap.