CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 58520 RVU and Medicare Payment (2026)
Repair of ruptured uterus — 13.14 work RVU, about $705.76 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 13.14
- PE RVU (non-facility)
- 5.68
- PE RVU (facility)
- 5.68
- MP RVU
- 2.31
- Office payment
- $705.76
- Facility payment
- $705.76
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 58520 in a non-facility setting with national GPCI: (13.14 + 5.68 + 2.31) × $33.4009 ≈ $705.76. The same code in a facility setting pays about $705.76 because facility PE RVU (5.68) replaces office PE RVU.
What changes by locality
GPCI moves 58520 non-facility payment from $641.59 to $902.89 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 58520?
13.14. 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 58520 in 2026?
About $705.76 non-facility ($705.76 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 (13.14) and malpractice RVU stay fixed; only practice expense changes (5.68 office vs 5.68 facility). That is the entire office-vs-facility payment gap.