CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 59000 RVU and Medicare Payment (2026)
Amniocentesis diagnostic — 1.27 work RVU, about $119.58 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 1.27
- PE RVU (non-facility)
- 1.9
- PE RVU (facility)
- 0.5
- MP RVU
- 0.41
- Office payment
- $119.58
- Facility payment
- $72.81
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 59000 in a non-facility setting with national GPCI: (1.27 + 1.9 + 0.41) × $33.4009 ≈ $119.58. The same code in a facility setting pays about $72.81 because facility PE RVU (0.5) replaces office PE RVU.
What changes by locality
GPCI moves 59000 non-facility payment from $103.99 to $146.02 across CMS localities — from Arkansas to Nyc Suburbs/long Island. 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 59000?
1.27. 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 59000 in 2026?
About $119.58 non-facility ($72.81 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 (1.27) and malpractice RVU stay fixed; only practice expense changes (1.9 office vs 0.5 facility). That is the entire office-vs-facility payment gap.