CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 58356 RVU and Medicare Payment (2026)
Endometrial cryoablation — 6.25 work RVU, about $1,616.6 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 6.25
- PE RVU (non-facility)
- 41.05
- PE RVU (facility)
- 1.8
- MP RVU
- 1.1
- Office payment
- $1,616.6
- Facility payment
- $305.62
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 58356 in a non-facility setting with national GPCI: (6.25 + 41.05 + 1.1) × $33.4009 ≈ $1,616.6. The same code in a facility setting pays about $305.62 because facility PE RVU (1.8) replaces office PE RVU.
What changes by locality
GPCI moves 58356 non-facility payment from $1,405.46 to $2,228.55 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 58356?
6.25. 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 58356 in 2026?
About $1,616.6 non-facility ($305.62 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 (6.25) and malpractice RVU stay fixed; only practice expense changes (41.05 office vs 1.8 facility). That is the entire office-vs-facility payment gap.