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

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 Vermont, Medicare pays $1,226.28 for 52441 in the office and $175.74 when it’s performed in a hospital or facility.

$1,226.28Office (non-facility)
$175.74Hospital or facility
−1.5%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 Vermont
  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 Vermont 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. Vermont pays $1,226.28. The RVUs are the same everywhere; the geographic indexes change the dollars.

52441 in Vermont vs other payment areas
  1. Vermont · this page$1,226.28
  2. Los Angeles, CA · California$1,446.24+$219.96
  3. Washington, DC area · District of Columbia$1,449.63+$223.35
  4. Miami, FL · Florida$1,314.75+$88.47
  5. Chicago, IL · Illinois$1,272.35+$46.07
  6. Manhattan, NY · New York$1,440.94+$214.66
  7. Alaska · Alaska$1,374.55+$148.27

Other areas in Vermont 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 Vermont 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

105

Locality
Vermont
Physician work
1.000
Practice expense
0.990
Malpractice
0.506
Office calculation for 52441 in Vermont
ComponentRVULocality factorAdjusted
Physician work3.90× 1.0003.9000
Practice expense32.90× 0.99032.5710
Malpractice0.48× 0.5060.2429
Total RVUs36.7139
Conversion factor× 33.4009

Office rate, Vermont$1226.28

Office: (3.9 × 1 + 32.9 × 0.99 + 0.48 × 0.506) × $33.4009 = $1226.28

Facility: (3.9 × 1 + 1.13 × 0.99 + 0.48 × 0.506) × $33.4009 = $175.74

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, Vermont
Add-on codes
52442Prostatic implant, each implant after the firstAdd-on code for each additional implant after the first.$854.00
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.$3,351.39

How 52441 has changed in Vermont

52441 · Office / nonfacility

$1226.28

Effective 2026-10-01

The base rate is $79.62 higher than on 2025-10-01, moving from $1146.66 to $1226.28 (6.9%).

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

    $1146.66changed to$1226.28

    • 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
    • Practice expense GPCI 0.993 changed to 0.990
    • Malpractice GPCI 0.518 changed to 0.506

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1239.83changed to$1146.66

    • 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

    $1219.59changed to$1239.83

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1283.78changed to$1219.59

    • 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
    • Practice expense GPCI 0.997 changed to 0.993
    • Malpractice GPCI 0.543 changed to 0.518

  5. January 1, 2023

    RVU23A

    $1352.49changed to$1283.78

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 34.78 changed to 33.73
    • Practice expense GPCI 1.001 changed to 0.997
    • Malpractice GPCI 0.569 changed to 0.543

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1427.77changed to$1352.49

    • 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

    $1399.46changed to$1427.77

    • 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
    • Practice expense GPCI 1.008 changed to 1.001
    • Malpractice GPCI 0.582 changed to 0.569

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1313.24changed to$1399.46

    • 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
    • Practice expense GPCI 1.015 changed to 1.008
    • Malpractice GPCI 0.595 changed to 0.582

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1297.03changed to$1313.24

    • 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

    $1268.37changed to$1297.03

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 30.22 changed to 30.77
    • Practice expense GPCI 1.010 changed to 1.015
    • Malpractice GPCI 0.639 changed to 0.595

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $1256.21changed to$1268.37

    • 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
    • Practice expense GPCI 1.004 changed to 1.010
    • Malpractice GPCI 0.682 changed to 0.639

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $1252.43changed to$1256.21

    • 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

    $1246.20changed to$1252.43

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    No ratechanged to$1246.20

    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$1,226.28$175.74RVU26D
2026-07-01$1,226.28$175.74RVU26C
2026-04-01$1,226.28$175.74RVU26B
2026-01-01$1,226.28$175.74RVU26A
2025-10-01$1,146.66$193.65RVU25D
2025-07-01$1,146.66$193.65RVU25C
2025-04-01$1,146.66$193.65RVU25B
2025-01-01$1,146.66$193.65RVU25A
2024-10-01$1,239.83$197.62RVU24D
2024-07-01$1,239.83$197.62RVU24C
2024-04-01$1,239.83$197.62RVU24B
2024-03-09$1,239.83$197.62RVU24AR
2024-01-01$1,219.59$194.39RVU24A
2023-10-01$1,283.78$199.94RVU23D
2023-07-01$1,283.78$199.94RVU23C
2023-04-01$1,283.78$199.94RVU23B
2023-01-01$1,283.78$199.94RVU23A
2022-10-01$1,352.49$203.45RVU22D
2022-07-01$1,352.49$203.45RVU22C
2022-04-01$1,352.49$203.45RVU22B
2022-01-01$1,352.49$203.45RVU22A
2021-10-01$1,427.77$205.29RVU21D
2021-07-01$1,427.77$205.29RVU21C
2021-04-01$1,427.77$205.29RVU21B
2021-01-01$1,427.77$205.29RVU21A
2020-10-01$1,399.46$212.44RVU20D
2020-07-01$1,399.46$212.44RVU20C
2020-04-01$1,399.46$212.44RVU20B
2020-01-01$1,399.46$212.44RVU20A
2019-10-01$1,313.24$229.75RVU19D
2019-07-01$1,313.24$229.75RVU19C
2019-04-01$1,313.24$229.75RVU19B
2019-01-01$1,313.24$229.75RVU19A
2018-10-01$1,297.03$230.44RVU18D
2018-07-01$1,297.03$230.44RVU18C
2018-04-01$1,297.03$230.44RVU18B
2018-01-01$1,297.03$230.44RVU18AR1
2017-10-01$1,268.37$229.51RVU17D
2017-07-01$1,268.37$229.51RVU17C
2017-04-01$1,268.37$229.51RVU17B
2017-01-01$1,268.37$229.51RVU17A
2016-10-01$1,256.21$229.55RVU16D
2016-07-01$1,256.21$229.55RVU16C
2016-04-01$1,256.21$229.55RVU16B
2016-01-01$1,256.21$229.55RVU16A
2015-10-01$1,252.43$229.28RVU15D
2015-07-01$1,252.43$229.28RVU15C
2015-04-01$1,246.20$228.14RVU15B
2015-01-01$1,246.20$228.14RVU15A
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 Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

  • Albany
  • Alburgh
  • Algiers
  • Arlington
  • Ascutney
  • Bakersfield
  • Barnet
  • Barre

Browse all communities in Vermont

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 VermontGPCI2026.csv, line 105 (RVU26D)

Open CMS sourceHow we calculate rates

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