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CPT code 52441: Prostate implant, first implant2026 Medicare rate & RVUs in Delaware

A urologist places the first implant to hold enlarged prostate tissue away from the urethra when treating urinary symptoms from benign prostatic enlargement.

CMS RVU26DEffective Oct 1, 2026One payment locality14.3K Medicare services in 2024

In Delaware, Medicare pays $1,231.03 for 52441 in the office and $182.62 when it’s performed in a hospital or facility.

$1,231.03Office (non-facility)
$182.62Hospital or facility
−1.1%vs the national office rate ($1,245.19)

Check a contract rate as a % of Medicare · 52441 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 52441 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 52441 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 52441 covers

This endoscopic treatment places an implant that retracts obstructing prostate tissue and helps open the urinary channel. Urologists use it for lower urinary tract symptoms associated with benign prostatic enlargement. The procedure is commonly performed in an outpatient clinic or facility, with a cystoscope passed through the urethra to position the implant in the prostate.

Report 52441 for the first implant placed; report 52442 for each additional implant. The operative record should support the indication, endoscopic approach, and number of implants placed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy-family pricing applies. Modifier 50 is inappropriate for this service. CMS does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Delaware compares for 52441

Across 109 of 109 payment localities, the office rate for 52441 runs from $1,082.47 in Arkansas to $1,737.78 in San Benito County, CA. Delaware pays $1,231.03. The RVUs are the same everywhere; the geographic indexes change the dollars.

52441 in Delaware vs other payment areas
  1. Delaware · this page$1,231.03
  2. Los Angeles, CA · California$1,446.24+$215.21
  3. Washington, DC area · District of Columbia$1,449.63+$218.60
  4. Miami, FL · Florida$1,314.75+$83.72
  5. Chicago, IL · Illinois$1,272.35+$41.32
  6. Manhattan, NY · New York$1,440.94+$209.91
  7. Alaska · Alaska$1,374.55+$143.52

Other areas in Delaware first, then benchmark localities. Bars start at $0.

Every other payment area

52441 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$1,100.87$172.36
ArkansasArkansas$1,082.47$170.94
ArizonaArizona$1,208.81$180.56
Bakersfield, CACalifornia$1,346.89$183.87
Chico, CACalifornia$1,345.45$182.44
El Centro, CACalifornia$1,345.53$182.52
Fresno, CACalifornia$1,345.45$182.44
Hanford, CACalifornia$1,345.45$182.44

52441 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$1,082.47

$1,541.62

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
52441 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,374.551
AL$1,100.871
AR$1,082.471
AZ$1,208.811
CA$1,345.45–$1,737.7829
CO$1,313.571
CT$1,335.771
DC$1,449.631
DE$1,231.031
FL$1,204.90–$1,314.753
GA$1,129.58–$1,266.382
GU$1,388.981
HI$1,388.981
IA$1,142.111
ID$1,148.831
IL$1,158.61–$1,288.144
IN$1,156.731
KS$1,131.741
KY$1,121.851
LA$1,118.14–$1,182.532
MA$1,302.26–$1,461.952
MD$1,258.36–$1,449.633
ME$1,151.21–$1,229.382
MI$1,151.65–$1,217.722
MN$1,265.771
MO$1,093.12–$1,192.473
MS$1,088.261
MT$1,245.151
NC$1,165.771
ND$1,235.661
NE$1,150.601
NH$1,288.241
NJ$1,353.05–$1,430.302
NM$1,157.201
NV$1,243.611
NY$1,185.48–$1,474.955
OH$1,149.711
OK$1,124.031
OR$1,236.03–$1,365.142
PA$1,154.19–$1,295.682
PR$1,257.031
RI$1,282.191
SC$1,159.271
SD$1,234.541
TN$1,137.761
TX$1,145.15–$1,307.358
UT$1,177.621
VA$1,221.79–$1,449.632
VI$1,257.031
VT$1,226.281
WA$1,301.29–$1,498.212
WI$1,187.941
WV$1,108.141
WY$1,241.021

See 52441 in every payment locality

How the 52441 rate is calculated

Each of 52441’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 52441

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.90

3.90 RVUs× 1.000 GPCI

Practice expense32.90

32.90 RVUs× 1.000 GPCI

Malpractice0.48

0.48 RVUs× 1.000 GPCI

Adjusted RVUs

37.2800

Conversion factor

$33.4009

Medicare rate

$1,245.19

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,158

Code
52441
Physician work
3.90
Practice expense
32.90
Malpractice
0.48

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 52441 in Delaware
ComponentRVULocality factorAdjusted
Physician work3.90× 1.0053.9195
Practice expense32.90× 0.98832.5052
Malpractice0.48× 0.8990.4315
Total RVUs36.8562
Conversion factor× 33.4009

Office rate, Delaware$1231.03

Office: (3.9 × 1.005 + 32.9 × 0.988 + 0.48 × 0.899) × $33.4009 = $1231.03

Facility: (3.9 × 1.005 + 1.13 × 0.988 + 0.48 × 0.899) × $33.4009 = $182.62

Open 52441 in the RVU calculator

Payment rules and modifiers for 52441

The CMS indicators that decide how 52441 is paid alongside other services.

CMS payment indicators · 52441

Prostate implant, first implant

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures3Endoscopy family rules apply.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

52441 without 51 · national office

$1,245.19

Prostate implant, first implant

52441-51 · Second procedure: 50%

$622.60

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 52441

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 52441
CodeHow it relatesOffice range, Delaware
Add-on codes
52442Prostatic implant, each implant after the firstAdd-on code for each additional implant after the first.$854.21
Used instead
52450Prostate incision, outlet incision without tissue resectionTreats prostate obstruction with transurethral incision rather than implant placement.No office rate
52601TURP, electrosurgical resectionRemoves obstructing prostate tissue by transurethral resection.No office rate
53854Prostate ablation, radiofrequency water vaporTreats prostate tissue using water-vapor thermal therapy instead of implants.$3,355.84

How 52441 has changed in Delaware

52441 · Office / nonfacility

$1231.03

Effective 2026-10-01

The base rate is $77.26 higher than on 2025-10-01, moving from $1153.77 to $1231.03 (6.7%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $1153.77changed to$1231.03

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.00 changed to 3.90
    • Practice expense RVU 31.41 changed to 32.90
    • Malpractice RVU 0.50 changed to 0.48
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1246.81changed to$1153.77

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 33.23 changed to 31.41
    • Malpractice RVU 0.48 changed to 0.50

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $1226.46changed to$1246.81

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1302.45changed to$1226.46

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 33.73 changed to 33.23
    • Malpractice RVU 0.47 changed to 0.48
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $1384.28changed to$1302.45

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 34.78 changed to 33.73
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1461.05changed to$1384.28

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 36.62 changed to 34.78
    • Malpractice RVU 0.46 changed to 0.47

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $1423.87changed to$1461.05

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 34.23 changed to 36.62
    • Malpractice RVU 0.47 changed to 0.46
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1328.12changed to$1423.87

    • Conversion factor 36.0391 changed to 36.0896
    • Work RVU 4.50 changed to 4.00
    • Practice expense RVU 31.18 changed to 34.23
    • Malpractice RVU 0.49 changed to 0.47
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1312.03changed to$1328.12

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 30.77 changed to 31.18
    • Malpractice RVU 0.50 changed to 0.49

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $1294.54changed to$1312.03

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 30.22 changed to 30.77
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $1295.13changed to$1294.54

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 30.09 changed to 30.22
    • Malpractice RVU 0.55 changed to 0.50
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $1290.85changed to$1295.13

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 29.88 changed to 30.09
    • Malpractice RVU 0.52 changed to 0.55

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $1284.43changed to$1290.85

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    No ratechanged to$1284.43

    Held through RVU15B.

  15. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,231.03$182.62RVU26D
2026-07-01$1,231.03$182.62RVU26C
2026-04-01$1,231.03$182.62RVU26B
2026-01-01$1,231.03$182.62RVU26A
2025-10-01$1,153.77$201.73RVU25D
2025-07-01$1,153.77$201.73RVU25C
2025-04-01$1,153.77$201.73RVU25B
2025-01-01$1,153.77$201.73RVU25A
2024-10-01$1,246.81$205.65RVU24D
2024-07-01$1,246.81$205.65RVU24C
2024-04-01$1,246.81$205.65RVU24B
2024-03-09$1,246.81$205.65RVU24AR
2024-01-01$1,226.46$202.29RVU24A
2023-10-01$1,302.45$207.74RVU23D
2023-07-01$1,302.45$207.74RVU23C
2023-04-01$1,302.45$207.74RVU23B
2023-01-01$1,302.45$207.74RVU23A
2022-10-01$1,384.28$211.14RVU22D
2022-07-01$1,384.28$211.14RVU22C
2022-04-01$1,384.28$211.14RVU22B
2022-01-01$1,384.28$211.14RVU22A
2021-10-01$1,461.05$212.92RVU21D
2021-07-01$1,461.05$212.92RVU21C
2021-04-01$1,461.05$212.92RVU21B
2021-01-01$1,461.05$212.92RVU21A
2020-10-01$1,423.87$221.53RVU20D
2020-07-01$1,423.87$221.53RVU20C
2020-04-01$1,423.87$221.53RVU20B
2020-01-01$1,423.87$221.53RVU20A
2019-10-01$1,328.12$240.36RVU19D
2019-07-01$1,328.12$240.36RVU19C
2019-04-01$1,328.12$240.36RVU19B
2019-01-01$1,328.12$240.36RVU19A
2018-10-01$1,312.03$241.23RVU18D
2018-07-01$1,312.03$241.23RVU18C
2018-04-01$1,312.03$241.23RVU18B
2018-01-01$1,312.03$241.23RVU18AR1
2017-10-01$1,294.54$240.26RVU17D
2017-07-01$1,294.54$240.26RVU17C
2017-04-01$1,294.54$240.26RVU17B
2017-01-01$1,294.54$240.26RVU17A
2016-10-01$1,295.13$240.86RVU16D
2016-07-01$1,295.13$240.86RVU16C
2016-04-01$1,295.13$240.86RVU16B
2016-01-01$1,295.13$240.86RVU16A
2015-10-01$1,290.85$240.19RVU15D
2015-07-01$1,290.85$240.19RVU15C
2015-04-01$1,284.43$238.99RVU15B
2015-01-01$1,284.43$238.99RVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 52441 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

52441 billing questions

When should 52442 be reported with 52441?

Report 52441 for the first implant and 52442 for each additional implant placed during the procedure. Document the total number placed.

How does this differ from transurethral incision of the prostate?

52441 places an implant to retract prostate tissue. Transurethral incision opens the obstructed channel by cutting prostate tissue rather than placing an implant.

Is same-day postoperative care separately reported?

No. The 0-day global period includes same-day preoperative and postoperative care.

Can modifier 50 be used?

No. CMS identifies bilateral adjustment as inapplicable because the descriptor or anatomy makes modifier 50 inappropriate.

Can an assistant surgeon or co-surgeon be billed?

CMS does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 52441PPRRVU2026_Oct_nonQPP.csv, line 6,158 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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