CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 58900 RVU and Medicare Payment (2026)
Biopsy of ovary(s) — 6.43 work RVU, about $389.12 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 6.43
- PE RVU (non-facility)
- 4.09
- PE RVU (facility)
- 4.09
- MP RVU
- 1.13
- Office payment
- $389.12
- Facility payment
- $389.12
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 58900 in a non-facility setting with national GPCI: (6.43 + 4.09 + 1.13) × $33.4009 ≈ $389.12. The same code in a facility setting pays about $389.12 because facility PE RVU (4.09) replaces office PE RVU.
What changes by locality
GPCI moves 58900 non-facility payment from $351.55 to $488.44 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 58900?
6.43. 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 58900 in 2026?
About $389.12 non-facility ($389.12 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 (6.43) and malpractice RVU stay fixed; only practice expense changes (4.09 office vs 4.09 facility). That is the entire office-vs-facility payment gap.