CPT code 52441: Prostate implant, first implant2026 Medicare rate & RVUs in Michigan
A urologist places the first implant to hold enlarged prostate tissue away from the urethra when treating urinary symptoms from benign prostatic enlargement.
Medicare pays $1,151.65–$1,217.72 for 52441 in the office in Michigan, from Rest of Michigan to Detroit, MI. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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.
Where 52441 pays more and less in Michigan
| Payment locality | Office | Facility |
|---|---|---|
| Detroit, MI | $1,217.72 | $193.72 |
| Rest of Michigan | $1,151.65 | $182.82 |
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
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.
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 3 | Endoscopy family rules apply. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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%).
52441 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 52442Prostatic implantEach implant after the first
- 52441 represents the first implant. Use 52442 for each additional implant placed in the same treatment session.
- 52450Prostate incisionOutlet incision without tissue resection
- 52450 describes transurethral incision of the prostate; 52441 places an implant to retract obstructing tissue.
- 52601TURPElectrosurgical resection
- 52601 is transurethral resection of prostate tissue. Use 52441 when the treatment is implant placement rather than tissue resection.
- 53854Prostate ablationRadiofrequency water vapor
- 53854 treats prostate tissue with water-vapor thermal therapy. 52441 is selected when the procedure places a transprostatic implant.
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
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