CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 58240 RVU and Medicare Payment (2026)
Removal of pelvis contents — 48.1 work RVU, about $2,677.75 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 48.1
- PE RVU (non-facility)
- 22.25
- PE RVU (facility)
- 22.25
- MP RVU
- 9.82
- Office payment
- $2,677.75
- Facility payment
- $2,677.75
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 58240 in a non-facility setting with national GPCI: (48.1 + 22.25 + 9.82) × $33.4009 ≈ $2,677.75. The same code in a facility setting pays about $2,677.75 because facility PE RVU (22.25) replaces office PE RVU.
What changes by locality
GPCI moves 58240 non-facility payment from $2,413.88 to $3,382.08 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 58240?
48.1. 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 58240 in 2026?
About $2,677.75 non-facility ($2,677.75 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 (48.1) and malpractice RVU stay fixed; only practice expense changes (22.25 office vs 22.25 facility). That is the entire office-vs-facility payment gap.