CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31

CPT 58956 RVU and Medicare Payment (2026)

Bso omentectomy w/tah — 22.23 work RVU, about $1,260.55 non-facility Medicare payment at the 2026 conversion factor.

Work RVU
22.23
PE RVU (non-facility)
10.75
PE RVU (facility)
10.75
MP RVU
4.76
Office payment
$1,260.55
Facility payment
$1,260.55

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 58956 in a non-facility setting with national GPCI: (22.23 + 10.75 + 4.76) × $33.4009 ≈ $1,260.55. The same code in a facility setting pays about $1,260.55 because facility PE RVU (10.75) replaces office PE RVU.

What changes by locality

GPCI moves 58956 non-facility payment from $1,132.81 to $1,583.75 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 58956?

22.23. 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 58956 in 2026?

About $1,260.55 non-facility ($1,260.55 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 (22.23) and malpractice RVU stay fixed; only practice expense changes (10.75 office vs 10.75 facility). That is the entire office-vs-facility payment gap.