CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 59857 RVU and Medicare Payment (2026)
Induced ab 1+vag supp hyst — 9.1 work RVU, about $522.06 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 9.1
- PE RVU (non-facility)
- 3.61
- PE RVU (facility)
- 3.61
- MP RVU
- 2.92
- Office payment
- $522.06
- Facility payment
- $522.06
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 59857 in a non-facility setting with national GPCI: (9.1 + 3.61 + 2.92) × $33.4009 ≈ $522.06. The same code in a facility setting pays about $522.06 because facility PE RVU (3.61) replaces office PE RVU.
What changes by locality
GPCI moves 59857 non-facility payment from $449.5 to $676.12 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 59857?
9.1. 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 59857 in 2026?
About $522.06 non-facility ($522.06 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 (9.1) and malpractice RVU stay fixed; only practice expense changes (3.61 office vs 3.61 facility). That is the entire office-vs-facility payment gap.