CPT code 52442: Prostatic implant, each implant after the first2026 Medicare rate & RVUs in South Dakota
Report this add-on for each additional implant placed during cystoscopic prostatic urethral lift treatment for obstructive symptoms from benign prostatic enlargement.
In South Dakota, Medicare pays $861.53 for 52442 in the office and $41.21 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 South Dakota 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. South Dakota pays $861.53. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$861.53
- Los Angeles, CA · California$1,015.70+$154.17
- Washington, DC area · District of Columbia$1,013.94+$152.41
- Miami, FL · Florida$904.98+$43.45
- Chicago, IL · Illinois$874.40+$12.87
- Manhattan, NY · New York$1,003.08+$141.55
- Alaska · Alaska$932.61+$71.08
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | $942.38 | $43.30 |
| Merced, CACalifornia | $942.38 | $43.30 |
| Modesto, CACalifornia | $942.38 | $43.30 |
| Napa, CACalifornia | $1,127.44 | $46.25 |
| Oxnard, CACalifornia | $1,014.27 | $44.65 |
| Redding, CACalifornia | $942.38 | $43.30 |
| Rest of CaliforniaCalifornia | $942.38 | $43.30 |
| Riverside, CACalifornia | $943.79 | $44.71 |
| Sacramento, CACalifornia | $998.44 | $44.40 |
| Salinas, CACalifornia | $994.96 | $44.20 |
| San Diego, CACalifornia | $1,025.57 | $44.46 |
| Marin County, CACalifornia | $1,204.39 | $47.73 |
| San Francisco, CACalifornia | $1,204.24 | $47.58 |
| San Benito County, CACalifornia | $1,231.69 | $48.78 |
| Santa Clara County, CACalifornia | $1,231.08 | $48.17 |
| San Luis Obispo, CACalifornia | $977.96 | $43.61 |
| Santa Cruz, CACalifornia | $1,040.97 | $44.27 |
| Santa Maria, CACalifornia | $1,000.66 | $44.16 |
| Santa Rosa, CACalifornia | $1,052.02 | $44.66 |
| Stockton, CACalifornia | $942.38 | $43.30 |
| Vallejo, CACalifornia | $1,127.22 | $46.03 |
| Visalia, CACalifornia | $942.38 | $43.30 |
| Yuba City, CACalifornia | $942.38 | $43.30 |
| ColoradoColorado | $916.81 | $43.98 |
| ConnecticutConnecticut | $929.69 | $46.20 |
| DelawareDelaware | $854.21 | $43.73 |
| Fort Lauderdale, FLFlorida | $878.68 | $47.69 |
| Rest of FloridaFlorida | $830.20 | $45.96 |
| Atlanta, GAGeorgia | $878.62 | $45.17 |
| Rest of GeorgiaGeorgia | $775.90 | $44.17 |
| Hawaii, Guam, HIHawaii | $975.93 | $43.22 |
| IowaIowa | $791.47 | $40.87 |
| IdahoIdaho | $795.94 | $41.24 |
| East St. Louis, ILIllinois | $802.63 | $47.93 |
| Rest of IllinoisIllinois | $794.88 | $45.92 |
| Suburban Chicago, ILIllinois | $890.33 | $47.86 |
| IndianaIndiana | $801.79 | $41.35 |
| KansasKansas | $782.84 | $41.26 |
| KentuckyKentucky | $772.21 | $42.94 |
| New Orleans, LALouisiana | $816.19 | $44.27 |
| Rest of LouisianaLouisiana | $769.09 | $43.10 |
| Metropolitan Boston, MAMassachusetts | $1,025.78 | $46.31 |
| Rest of MassachusettsMassachusetts | $907.91 | $44.10 |
| Baltimore area, MDMaryland | $926.36 | $46.15 |
| Rest of MarylandMaryland | $874.31 | $44.14 |
| Rest of MaineMaine | $796.59 | $41.89 |
| Southern Maine, MEMaine | $855.37 | $42.42 |
| Detroit, MIMichigan | $838.44 | $46.82 |
| Rest of MichiganMichigan | $793.00 | $44.04 |
| MinnesotaMinnesota | $885.35 | $41.24 |
| Metropolitan Kansas City, MOMissouri | $813.85 | $43.56 |
| Metropolitan St. Louis, MOMissouri | $824.71 | $43.76 |
| Rest of MissouriMissouri | $750.13 | $43.01 |
| MississippiMississippi | $748.28 | $41.98 |
| MontanaMontana | $864.41 | $44.08 |
| North CarolinaNorth Carolina | $807.42 | $42.05 |
| North DakotaNorth Dakota | $861.84 | $41.51 |
| NebraskaNebraska | $798.01 | $40.85 |
| New HampshireNew Hampshire | $897.79 | $43.83 |
| Northern New JerseyNew Jersey | $999.15 | $47.57 |
| Rest of New JerseyNew Jersey | $942.26 | $46.46 |
| New MexicoNew Mexico | $796.62 | $44.38 |
| NevadaNevada | $864.52 | $43.37 |
| NYC suburbs and Long Island, NYNew York | $1,026.60 | $51.23 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $945.40 | $47.14 |
| Queens, NYNew York | $1,019.01 | $49.38 |
| Rest of New YorkNew York | $821.76 | $42.45 |
| OhioOhio | $792.47 | $43.51 |
| OklahomaOklahoma | $774.92 | $42.37 |
| Portland, OROregon | $955.66 | $44.28 |
| Rest of OregonOregon | $859.82 | $42.77 |
| Metropolitan Philadelphia, PAPennsylvania | $899.76 | $45.80 |
| Rest of PennsylvaniaPennsylvania | $796.33 | $43.28 |
| Puerto RicoPuerto Rico | $873.45 | $44.10 |
| Rhode IslandRhode Island | $891.87 | $44.47 |
| South CarolinaSouth Carolina | $800.89 | $42.90 |
| TennesseeTennessee | $787.12 | $41.44 |
| Austin, TXTexas | $911.97 | $44.07 |
| Beaumont, TXTexas | $789.65 | $43.15 |
| Brazoria, TXTexas | $856.28 | $43.33 |
| Dallas, TXTexas | $860.78 | $43.74 |
| Fort Worth, TXTexas | $852.57 | $43.73 |
| Galveston, TXTexas | $858.14 | $43.56 |
| Houston, TXTexas | $860.52 | $45.93 |
| Rest of TexasTexas | $821.80 | $43.31 |
| UtahUtah | $814.33 | $43.23 |
| VirginiaVirginia | $849.07 | $42.69 |
| Virgin Islands, VIUnited States Virgin Islands | $873.45 | $44.10 |
| VermontVermont | $854.00 | $41.87 |
| Rest of WashingtonWashington | $907.65 | $43.85 |
| King County, WAWashington | $1,053.06 | $46.52 |
| WisconsinWisconsin | $826.66 | $40.79 |
| West VirginiaWest Virginia | $757.91 | $45.04 |
| WyomingWyoming | $863.29 | $42.96 |
52442 rates by state
Office rate range in each state. Select a state to see its payment localities.
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $932.61 | 1 |
| AL | $759.11 | 1 |
| AR | $745.65 | 1 |
| AZ | $838.14 | 1 |
| CA | $942.38–$1,231.69 | 29 |
| CO | $916.81 | 1 |
| CT | $929.69 | 1 |
| DC | $1,013.94 | 1 |
| DE | $854.21 | 1 |
| FL | $830.20–$904.98 | 3 |
| GA | $775.90–$878.62 | 2 |
| GU | $975.93 | 1 |
| HI | $975.93 | 1 |
| IA | $791.47 | 1 |
| ID | $795.94 | 1 |
| IL | $794.88–$890.33 | 4 |
| IN | $801.79 | 1 |
| KS | $782.84 | 1 |
| KY | $772.21 | 1 |
| LA | $769.09–$816.19 | 2 |
| MA | $907.91–$1,025.78 | 2 |
| MD | $874.31–$1,013.94 | 3 |
| ME | $796.59–$855.37 | 2 |
| MI | $793.00–$838.44 | 2 |
| MN | $885.35 | 1 |
| MO | $750.13–$824.71 | 3 |
| MS | $748.28 | 1 |
| MT | $864.41 | 1 |
| NC | $807.42 | 1 |
| ND | $861.84 | 1 |
| NE | $798.01 | 1 |
| NH | $897.79 | 1 |
| NJ | $942.26–$999.15 | 2 |
| NM | $796.62 | 1 |
| NV | $864.52 | 1 |
| NY | $821.76–$1,026.60 | 5 |
| OH | $792.47 | 1 |
| OK | $774.92 | 1 |
| OR | $859.82–$955.66 | 2 |
| PA | $796.33–$899.76 | 2 |
| PR | $873.45 | 1 |
| RI | $891.87 | 1 |
| SC | $800.89 | 1 |
| SD | $861.53 | 1 |
| TN | $787.12 | 1 |
| TX | $789.65–$911.97 | 8 |
| UT | $814.33 | 1 |
| VA | $849.07–$1,013.94 | 2 |
| VI | $873.45 | 1 |
| VT | $854.00 | 1 |
| WA | $907.65–$1,053.06 | 2 |
| WI | $826.66 | 1 |
| WV | $757.91 | 1 |
| WY | $863.29 | 1 |
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
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 South Dakota 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
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.98 | × 1.000 | 0.9800 |
| Practice expense | 24.77 | × 1.000 | 24.7700 |
| Malpractice | 0.13 | × 0.336 | 0.0437 |
| Total RVUs | 25.7937 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$861.53
Office: (0.98 × 1 + 24.77 × 1 + 0.13 × 0.336) × $33.4009 = $861.53
Facility: (0.98 × 1 + 0.21 × 1 + 0.13 × 0.336) × $33.4009 = $41.21
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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. |
How 52442 has changed in South Dakota
52442 · Office / nonfacility
$861.53
Effective 2026-10-01
The base rate is $71.96 higher than on 2025-10-01, moving from $789.57 to $861.53 (9.1%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$789.57changed to$861.53
- 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
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$851.02changed to$789.57
- 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.
March 9, 2024
RVU24AR
$837.13changed to$851.02
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$882.55changed to$837.13
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 24.99 changed to 24.51
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$931.19changed to$882.55
- 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
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1018.01changed to$931.19
- 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.
January 1, 2021
RVU21A
$1014.50changed to$1018.01
- 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 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$974.88changed to$1014.50
- 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
- Malpractice GPCI 0.389 changed to 0.368
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$983.53changed to$974.88
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 26.07 changed to 25.80
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$964.38changed to$983.53
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 25.62 changed to 26.07
- Malpractice GPCI 0.395 changed to 0.389
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$959.05changed to$964.38
- 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
- Malpractice GPCI 0.400 changed to 0.395
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$956.05changed to$959.05
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 25.35 changed to 25.53
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$951.29changed to$956.05
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
No ratechanged to$951.29
Held through RVU15B.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $861.53 | $41.21 | RVU26D |
| 2026-07-01 | $861.53 | $41.21 | RVU26C |
| 2026-04-01 | $861.53 | $41.21 | RVU26B |
| 2026-01-01 | $861.53 | $41.21 | RVU26A |
| 2025-10-01 | $789.57 | $46.24 | RVU25D |
| 2025-07-01 | $789.57 | $46.24 | RVU25C |
| 2025-04-01 | $789.57 | $46.24 | RVU25B |
| 2025-01-01 | $789.57 | $46.24 | RVU25A |
| 2024-10-01 | $851.02 | $47.13 | RVU24D |
| 2024-07-01 | $851.02 | $47.13 | RVU24C |
| 2024-04-01 | $851.02 | $47.13 | RVU24B |
| 2024-03-09 | $851.02 | $47.13 | RVU24AR |
| 2024-01-01 | $837.13 | $46.36 | RVU24A |
| 2023-10-01 | $882.55 | $47.57 | RVU23D |
| 2023-07-01 | $882.55 | $47.57 | RVU23C |
| 2023-04-01 | $882.55 | $47.57 | RVU23B |
| 2023-01-01 | $882.55 | $47.57 | RVU23A |
| 2022-10-01 | $931.19 | $48.04 | RVU22D |
| 2022-07-01 | $931.19 | $48.04 | RVU22C |
| 2022-04-01 | $931.19 | $48.04 | RVU22B |
| 2022-01-01 | $931.19 | $48.04 | RVU22A |
| 2021-10-01 | $1,018.01 | $49.03 | RVU21D |
| 2021-07-01 | $1,018.01 | $49.03 | RVU21C |
| 2021-04-01 | $1,018.01 | $49.03 | RVU21B |
| 2021-01-01 | $1,018.01 | $49.03 | RVU21A |
| 2020-10-01 | $1,014.50 | $50.18 | RVU20D |
| 2020-07-01 | $1,014.50 | $50.18 | RVU20C |
| 2020-04-01 | $1,014.50 | $50.18 | RVU20B |
| 2020-01-01 | $1,014.50 | $50.18 | RVU20A |
| 2019-10-01 | $974.88 | $60.21 | RVU19D |
| 2019-07-01 | $974.88 | $60.21 | RVU19C |
| 2019-04-01 | $974.88 | $60.21 | RVU19B |
| 2019-01-01 | $974.88 | $60.21 | RVU19A |
| 2018-10-01 | $983.53 | $60.14 | RVU18D |
| 2018-07-01 | $983.53 | $60.14 | RVU18C |
| 2018-04-01 | $983.53 | $60.14 | RVU18B |
| 2018-01-01 | $983.53 | $60.14 | RVU18AR1 |
| 2017-10-01 | $964.38 | $59.98 | RVU17D |
| 2017-07-01 | $964.38 | $59.98 | RVU17C |
| 2017-04-01 | $964.38 | $59.98 | RVU17B |
| 2017-01-01 | $964.38 | $59.98 | RVU17A |
| 2016-10-01 | $959.05 | $59.65 | RVU16D |
| 2016-07-01 | $959.05 | $59.65 | RVU16C |
| 2016-04-01 | $959.05 | $59.65 | RVU16B |
| 2016-01-01 | $959.05 | $59.65 | RVU16A |
| 2015-10-01 | $956.05 | $59.87 | RVU15D |
| 2015-07-01 | $956.05 | $59.87 | RVU15C |
| 2015-04-01 | $951.29 | $59.57 | RVU15B |
| 2015-01-01 | $951.29 | $59.57 | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
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
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