FeeBase
Log inGet started
Menu

CPT code 52442: Prostatic implant, each implant after the first2026 Medicare rate & RVUs in Puerto Rico

Report this add-on for each additional implant placed during cystoscopic prostatic urethral lift treatment for obstructive symptoms from benign prostatic enlargement.

CMS RVU26DEffective Oct 1, 2026One payment locality57.5K Medicare services in 2024

In Puerto Rico, Medicare pays $873.45 for 52442 in the office and $44.10 when it’s performed in a hospital or facility.

$873.45Office (non-facility)
$44.10Hospital or facility
+1.0%vs the national office rate ($864.42)

Check a contract rate as a % of Medicare · 52442 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 52442 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 52442 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 52442 covers

During cystoscopy, the urologist places small implants through the urethra to hold obstructing prostate tissue away from the urinary channel. This code represents an implant beyond the first one placed during the same treatment session. Prostatic urethral lift is used to treat urinary symptoms associated with benign prostatic enlargement; the service may be performed in an office or facility setting.

Report this code only with the primary implant-placement procedure, 52441, and count each additional implant separately. The operative note should support the indication, the cystoscopic treatment, and the number of implants placed so the first implant and additional implants can be distinguished. CMS classifies this as an add-on code paid within the primary procedure’s global period. It cannot be reported by itself.

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 Puerto Rico compares for 52442

Across 109 of 109 payment localities, the office rate for 52442 runs from $745.65 in Arkansas to $1,231.69 in San Benito County, CA. Puerto Rico pays $873.45. The RVUs are the same everywhere; the geographic indexes change the dollars.

52442 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$873.45
  2. Los Angeles, CA · California$1,015.70+$142.25
  3. Washington, DC area · District of Columbia$1,013.94+$140.49
  4. Miami, FL · Florida$904.98+$31.53
  5. Chicago, IL · Illinois$874.40+$0.95
  6. Manhattan, NY · New York$1,003.08+$129.63
  7. Alaska · Alaska$932.61+$59.16

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

Every other payment area

52442 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$759.11$41.33
ArkansasArkansas$745.65$40.99
ArizonaArizona$838.14$43.25
Bakersfield, CACalifornia$942.76$43.69
Chico, CACalifornia$942.38$43.30
El Centro, CACalifornia$942.40$43.33
Fresno, CACalifornia$942.38$43.30
Hanford, CACalifornia$942.38$43.30

52442 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.

$745.65

$1,087.04

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

View every state and territory as a table
52442 office rate range by state
State / territoryOffice rate rangeLocalities
AK$932.611
AL$759.111
AR$745.651
AZ$838.141
CA$942.38–$1,231.6929
CO$916.811
CT$929.691
DC$1,013.941
DE$854.211
FL$830.20–$904.983
GA$775.90–$878.622
GU$975.931
HI$975.931
IA$791.471
ID$795.941
IL$794.88–$890.334
IN$801.791
KS$782.841
KY$772.211
LA$769.09–$816.192
MA$907.91–$1,025.782
MD$874.31–$1,013.943
ME$796.59–$855.372
MI$793.00–$838.442
MN$885.351
MO$750.13–$824.713
MS$748.281
MT$864.411
NC$807.421
ND$861.841
NE$798.011
NH$897.791
NJ$942.26–$999.152
NM$796.621
NV$864.521
NY$821.76–$1,026.605
OH$792.471
OK$774.921
OR$859.82–$955.662
PA$796.33–$899.762
PR$873.451
RI$891.871
SC$800.891
SD$861.531
TN$787.121
TX$789.65–$911.978
UT$814.331
VA$849.07–$1,013.942
VI$873.451
VT$854.001
WA$907.65–$1,053.062
WI$826.661
WV$757.911
WY$863.291

See 52442 in every payment locality

How the 52442 rate is calculated

Each of 52442’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 · 52442

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.98

0.98 RVUs× 1.000 GPCI

Practice expense24.77

24.77 RVUs× 1.000 GPCI

Malpractice0.13

0.13 RVUs× 1.000 GPCI

Adjusted RVUs

25.8800

Conversion factor

$33.4009

Medicare rate

$864.42

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

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,159

Code
52442
Physician work
0.98
Practice expense
24.77
Malpractice
0.13

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 52442 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work0.98× 1.0000.9800
Practice expense24.77× 1.01125.0425
Malpractice0.13× 0.9850.1280
Total RVUs26.1505
Conversion factor× 33.4009

Office rate, Puerto Rico$873.45

Office: (0.98 × 1 + 24.77 × 1.011 + 0.13 × 0.985) × $33.4009 = $873.45

Facility: (0.98 × 1 + 0.21 × 1.011 + 0.13 × 0.985) × $33.4009 = $44.10

Open 52442 in the RVU calculator

Payment rules and modifiers for 52442

The CMS indicators that decide how 52442 is paid alongside other services.

CMS payment indicators · 52442

Prostatic implant, each implant after the first

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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.

Codes related to 52442

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

Codes related to 52442
CodeHow it relatesOffice range, Puerto Rico
Add-on codes
52441Prostate implant, first implantPrimary code for the first implant; report 52442 with it for additional implants.$1,257.03
Used instead
53854Prostate ablation, radiofrequency water vaporWater vapor thermal therapy is a different treatment option for prostatic obstruction.$3,430.11
52601TURP, electrosurgical resectionTransurethral resection removes prostate tissue rather than retracting it with implants.No office rate
52648Laser prostate surgery, vaporizationLaser vaporization treats prostatic obstruction using a different operative method.No office rate

How 52442 has changed in Puerto Rico

52442 · Office / nonfacility

$873.45

Effective 2026-10-01

The base rate is $76.07 higher than on 2025-10-01, moving from $797.38 to $873.45 (9.5%).

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

    $797.38changed to$873.45

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.01 changed to 0.98
    • Practice expense RVU 23.35 changed to 24.77
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $859.13changed to$797.38

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 24.51 changed to 23.35
    • Malpractice RVU 0.12 changed to 0.13

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $845.11changed to$859.13

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $891.84changed to$845.11

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 24.99 changed to 24.51
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $885.13changed to$891.84

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $940.78changed to$885.13

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 25.86 changed to 24.99
    • Malpractice RVU 0.11 changed to 0.12
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $1028.76changed to$940.78

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 28.12 changed to 25.86
    • Malpractice RVU 0.13 changed to 0.11

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $1024.77changed to$1028.76

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 27.06 changed to 28.12
    • Malpractice RVU 0.11 changed to 0.13
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $984.20changed to$1024.77

    • Conversion factor 36.0391 changed to 36.0896
    • Work RVU 1.20 changed to 1.01
    • Practice expense RVU 25.80 changed to 27.06
    • Malpractice RVU 0.13 changed to 0.11
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $992.91changed to$984.20

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 26.07 changed to 25.80

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $833.13changed to$992.91

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 25.62 changed to 26.07
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $688.86changed to$833.13

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 25.53 changed to 25.62
    • Malpractice RVU 0.14 changed to 0.13
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $686.79changed to$688.86

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 25.35 changed to 25.53

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $683.37changed to$686.79

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    No ratechanged to$683.37

    Held through RVU15B.

  16. 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$873.45$44.10RVU26D
2026-07-01$873.45$44.10RVU26C
2026-04-01$873.45$44.10RVU26B
2026-01-01$873.45$44.10RVU26A
2025-10-01$797.38$48.85RVU25D
2025-07-01$797.38$48.85RVU25C
2025-04-01$797.38$48.85RVU25B
2025-01-01$797.38$48.85RVU25A
2024-10-01$859.13$49.61RVU24D
2024-07-01$859.13$49.61RVU24C
2024-04-01$859.13$49.61RVU24B
2024-03-09$859.13$49.61RVU24AR
2024-01-01$845.11$48.80RVU24A
2023-10-01$891.84$50.18RVU23D
2023-07-01$885.13$50.15RVU23C
2023-04-01$885.13$50.15RVU23B
2023-01-01$885.13$50.15RVU23A
2022-10-01$940.78$50.57RVU22D
2022-07-01$940.78$50.57RVU22C
2022-04-01$940.78$50.57RVU22B
2022-01-01$940.78$50.57RVU22A
2021-10-01$1,028.76$52.02RVU21D
2021-07-01$1,028.76$52.02RVU21C
2021-04-01$1,028.76$52.02RVU21B
2021-01-01$1,028.76$52.02RVU21A
2020-10-01$1,024.77$52.74RVU20D
2020-07-01$1,024.77$52.74RVU20C
2020-04-01$1,024.77$52.74RVU20B
2020-01-01$1,024.77$52.74RVU20A
2019-10-01$984.20$63.13RVU19D
2019-07-01$984.20$63.13RVU19C
2019-04-01$984.20$63.13RVU19B
2019-01-01$984.20$63.13RVU19A
2018-10-01$992.91$63.06RVU18D
2018-07-01$992.91$63.06RVU18C
2018-04-01$992.91$63.06RVU18B
2018-01-01$992.91$63.06RVU18AR1
2017-10-01$833.13$58.96RVU17D
2017-07-01$833.13$58.96RVU17C
2017-04-01$833.13$58.96RVU17B
2017-01-01$833.13$58.96RVU17A
2016-10-01$688.86$54.78RVU16D
2016-07-01$688.86$54.78RVU16C
2016-04-01$688.86$54.78RVU16B
2016-01-01$688.86$54.78RVU16A
2015-10-01$686.79$54.98RVU15D
2015-07-01$686.79$54.98RVU15C
2015-04-01$683.37$54.71RVU15B
2015-01-01$683.37$54.71RVU15A
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 52442 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

52442 billing questions

When should 52442 be reported instead of 52441?

Use 52441 for the first implant placed during the session. Report 52442 for each implant placed after that first one.

Can 52442 be billed without 52441?

No. It is an add-on code and must be reported with the primary implant-placement code, 52441.

How should the number of additional implants be documented?

The procedure note should state the total number of implants placed and support which implant was the first and which were additional.

Is 52442 paid outside the primary procedure’s global period?

No. CMS identifies it as an add-on code paid within the global period of the primary procedure.

How does this treatment differ from water vapor therapy?

Prostatic urethral lift uses implants to retract obstructing tissue. Water vapor therapy, reported with 53854, treats prostate tissue with thermal energy.

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 52442PPRRVU2026_Oct_nonQPP.csv, line 6,159 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 52442 pays in Puerto Rico?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 52442 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist