CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 59851 RVU and Medicare Payment (2026)
Induced abortion 1+njx d&c — 5.77 work RVU, about $386.78 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 5.77
- PE RVU (non-facility)
- 3.96
- PE RVU (facility)
- 3.96
- MP RVU
- 1.85
- Office payment
- $386.78
- Facility payment
- $386.78
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 59851 in a non-facility setting with national GPCI: (5.77 + 3.96 + 1.85) × $33.4009 ≈ $386.78. The same code in a facility setting pays about $386.78 because facility PE RVU (3.96) replaces office PE RVU.
What changes by locality
GPCI moves 59851 non-facility payment from $338.16 to $486.68 across CMS localities — from Arkansas 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 59851?
5.77. 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 59851 in 2026?
About $386.78 non-facility ($386.78 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 (5.77) and malpractice RVU stay fixed; only practice expense changes (3.96 office vs 3.96 facility). That is the entire office-vs-facility payment gap.