CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 59840 RVU and Medicare Payment (2026)
Induced abortion d&c — 2.93 work RVU, about $244.49 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 2.93
- PE RVU (non-facility)
- 3.46
- PE RVU (facility)
- 2.17
- MP RVU
- 0.93
- Office payment
- $244.49
- Facility payment
- $201.41
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 59840 in a non-facility setting with national GPCI: (2.93 + 3.46 + 0.93) × $33.4009 ≈ $244.49. The same code in a facility setting pays about $201.41 because facility PE RVU (2.17) replaces office PE RVU.
What changes by locality
GPCI moves 59840 non-facility payment from $213.13 to $299.22 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 59840?
2.93. 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 59840 in 2026?
About $244.49 non-facility ($201.41 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 (2.93) and malpractice RVU stay fixed; only practice expense changes (3.46 office vs 2.17 facility). That is the entire office-vs-facility payment gap.