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

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 Portland, OR, Medicare pays $1,365.14 for 52441 in the office and $186.21 when it’s performed in a hospital or facility.

$1,365.14Office (non-facility)
$186.21Hospital or facility
+9.6%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 Portland, OR
  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 Portland, OR 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. Portland, OR pays $1,365.14. The RVUs are the same everywhere; the geographic indexes change the dollars.

52441 in Portland, OR vs other payment areas
  1. Portland, OR · this page$1,365.14
  2. Rest of Oregon · Oregon$1,236.03−$129.11
  3. Los Angeles, CA · California$1,446.24+$81.10
  4. Washington, DC area · District of Columbia$1,449.63+$84.49
  5. Miami, FL · Florida$1,314.75−$50.39
  6. Chicago, IL · Illinois$1,272.35−$92.79
  7. Manhattan, NY · New York$1,440.94+$75.80

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

Every other payment area

52441 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$1,374.55$244.43
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

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 Portland, OR 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

87

Locality
Portland, OR
Physician work
1.016
Practice expense
1.111
Malpractice
0.744
Office calculation for 52441 in Portland, OR
ComponentRVULocality factorAdjusted
Physician work3.90× 1.0163.9624
Practice expense32.90× 1.11136.5519
Malpractice0.48× 0.7440.3571
Total RVUs40.8714
Conversion factor× 33.4009

Office rate, Portland, OR$1365.14

Office: (3.9 × 1.016 + 32.9 × 1.111 + 0.48 × 0.744) × $33.4009 = $1365.14

Facility: (3.9 × 1.016 + 1.13 × 1.111 + 0.48 × 0.744) × $33.4009 = $186.21

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, Portland, OR
Add-on codes
52442Prostatic implant, each implant after the firstAdd-on code for each additional implant after the first.$955.66
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.$3,744.91

How 52441 has changed in Portland, OR

52441 · Office / nonfacility

$1365.14

Effective 2026-10-01

The base rate is $102.29 higher than on 2025-10-01, moving from $1262.85 to $1365.14 (8.1%).

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

    $1262.85changed to$1365.14

    • 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 1.013 changed to 1.016
    • Practice expense GPCI 1.103 changed to 1.111
    • Malpractice GPCI 0.688 changed to 0.744

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1365.95changed to$1262.85

    • 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

    $1343.66changed to$1365.95

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1385.62changed to$1343.66

    • 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 1.018 changed to 1.013
    • Practice expense GPCI 1.083 changed to 1.103
    • Malpractice GPCI 0.612 changed to 0.688

  5. January 1, 2023

    RVU23A

    $1429.60changed to$1385.62

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 34.78 changed to 33.73
    • Work GPCI 1.022 changed to 1.018
    • Practice expense GPCI 1.063 changed to 1.083
    • Malpractice GPCI 0.535 changed to 0.612

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1509.52changed to$1429.60

    • 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

    $1466.08changed to$1509.52

    • 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 1.016 changed to 1.022
    • Practice expense GPCI 1.059 changed to 1.063
    • Malpractice GPCI 0.659 changed to 0.535

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1362.00changed to$1466.08

    • 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 1.010 changed to 1.016
    • Practice expense GPCI 1.054 changed to 1.059
    • Malpractice GPCI 0.783 changed to 0.659

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1345.24changed to$1362.00

    • 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

    $1317.13changed to$1345.24

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 30.22 changed to 30.77
    • Work GPCI 1.008 changed to 1.010
    • Practice expense GPCI 1.052 changed to 1.054
    • Malpractice GPCI 0.746 changed to 0.783

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $1306.01changed to$1317.13

    • 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 1.005 changed to 1.008
    • Practice expense GPCI 1.049 changed to 1.052
    • Malpractice GPCI 0.708 changed to 0.746

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $1302.04changed to$1306.01

    • 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

    $1295.56changed to$1302.04

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    No ratechanged to$1295.56

    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$1,365.14$186.21RVU26D
2026-07-01$1,365.14$186.21RVU26C
2026-04-01$1,365.14$186.21RVU26B
2026-01-01$1,365.14$186.21RVU26A
2025-10-01$1,262.85$204.28RVU25D
2025-07-01$1,262.85$204.28RVU25C
2025-04-01$1,262.85$204.28RVU25B
2025-01-01$1,262.85$204.28RVU25A
2024-10-01$1,365.95$208.29RVU24D
2024-07-01$1,365.95$208.29RVU24C
2024-04-01$1,365.95$208.29RVU24B
2024-03-09$1,365.95$208.29RVU24AR
2024-01-01$1,343.66$204.89RVU24A
2023-10-01$1,385.62$208.29RVU23D
2023-07-01$1,385.62$208.29RVU23C
2023-04-01$1,385.62$208.29RVU23B
2023-01-01$1,385.62$208.29RVU23A
2022-10-01$1,429.60$209.40RVU22D
2022-07-01$1,429.60$209.40RVU22C
2022-04-01$1,429.60$209.40RVU22B
2022-01-01$1,429.60$209.40RVU22A
2021-10-01$1,509.52$211.32RVU21D
2021-07-01$1,509.52$211.32RVU21C
2021-04-01$1,509.52$211.32RVU21B
2021-01-01$1,509.52$211.32RVU21A
2020-10-01$1,466.08$219.00RVU20D
2020-07-01$1,466.08$219.00RVU20C
2020-04-01$1,466.08$219.00RVU20B
2020-01-01$1,466.08$219.00RVU20A
2019-10-01$1,362.00$236.88RVU19D
2019-07-01$1,362.00$236.88RVU19C
2019-04-01$1,362.00$236.88RVU19B
2019-01-01$1,362.00$236.88RVU19A
2018-10-01$1,345.24$237.66RVU18D
2018-07-01$1,345.24$237.66RVU18C
2018-04-01$1,345.24$237.66RVU18B
2018-01-01$1,345.24$237.66RVU18AR1
2017-10-01$1,317.13$235.08RVU17D
2017-07-01$1,317.13$235.08RVU17C
2017-04-01$1,317.13$235.08RVU17B
2017-01-01$1,317.13$235.08RVU17A
2016-10-01$1,306.01$233.33RVU16D
2016-07-01$1,306.01$233.33RVU16C
2016-04-01$1,306.01$233.33RVU16B
2016-01-01$1,306.01$233.33RVU16A
2015-10-01$1,302.04$233.03RVU15D
2015-07-01$1,302.04$233.03RVU15C
2015-04-01$1,295.56$231.87RVU15B
2015-01-01$1,295.56$231.87RVU15A
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 Portland, OR rate applies

Portland, OR is a Medicare payment area, not a city. Our Census mapping connects it to 60 cities and communities in Oregon. Some span more than one payment area; confirm with the service ZIP.

  • Portland
  • Aloha
  • Banks
  • Barlow
  • Beavercreek
  • Beaverton
  • Bethany
  • Boring

Browse all communities in Oregon

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 Portland, ORGPCI2026.csv, line 87 (RVU26D)

Open CMS sourceHow we calculate rates

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