CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 58954 RVU and Medicare Payment (2026)
Tah rad debulk/lymph remove — 36.2 work RVU, about $1,994.7 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 36.2
- PE RVU (non-facility)
- 15.68
- PE RVU (facility)
- 15.68
- MP RVU
- 7.84
- Office payment
- $1,994.7
- Facility payment
- $1,994.7
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 58954 in a non-facility setting with national GPCI: (36.2 + 15.68 + 7.84) × $33.4009 ≈ $1,994.7. The same code in a facility setting pays about $1,994.7 because facility PE RVU (15.68) replaces office PE RVU.
What changes by locality
GPCI moves 58954 non-facility payment from $1,791.5 to $2,515.72 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 58954?
36.2. 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 58954 in 2026?
About $1,994.7 non-facility ($1,994.7 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 (36.2) and malpractice RVU stay fixed; only practice expense changes (15.68 office vs 15.68 facility). That is the entire office-vs-facility payment gap.