CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 59121 RVU and Medicare Payment (2026)
Treat ectopic pregnancy — 12.42 work RVU, about $735.15 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 12.42
- PE RVU (non-facility)
- 5.61
- PE RVU (facility)
- 5.61
- MP RVU
- 3.98
- Office payment
- $735.15
- Facility payment
- $735.15
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 59121 in a non-facility setting with national GPCI: (12.42 + 5.61 + 3.98) × $33.4009 ≈ $735.15. The same code in a facility setting pays about $735.15 because facility PE RVU (5.61) replaces office PE RVU.
What changes by locality
GPCI moves 59121 non-facility payment from $635.29 to $946.09 across CMS localities — from Wisconsin to Miami. 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 59121?
12.42. 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 59121 in 2026?
About $735.15 non-facility ($735.15 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 (12.42) and malpractice RVU stay fixed; only practice expense changes (5.61 office vs 5.61 facility). That is the entire office-vs-facility payment gap.