CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 58290 RVU and Medicare Payment (2026)
Vag hyst complex — 19.76 work RVU, about $1,011.38 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 19.76
- PE RVU (non-facility)
- 7.06
- PE RVU (facility)
- 7.06
- MP RVU
- 3.46
- Office payment
- $1,011.38
- Facility payment
- $1,011.38
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 58290 in a non-facility setting with national GPCI: (19.76 + 7.06 + 3.46) × $33.4009 ≈ $1,011.38. The same code in a facility setting pays about $1,011.38 because facility PE RVU (7.06) replaces office PE RVU.
What changes by locality
GPCI moves 58290 non-facility payment from $921.34 to $1,304.82 across CMS localities — from Nebraska 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 58290?
19.76. 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 58290 in 2026?
About $1,011.38 non-facility ($1,011.38 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 (19.76) and malpractice RVU stay fixed; only practice expense changes (7.06 office vs 7.06 facility). That is the entire office-vs-facility payment gap.