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CPT code 52450: Prostate incision, outlet incision without tissue resection2026 Medicare rate & RVUs

A urologist incises prostate tissue to relieve urinary outlet obstruction, typically when a limited endoscopic incision is chosen instead of tissue removal.

CMS RVU26DEffective Oct 1, 2026109 payment localities960 Medicare services in 2024

Medicare pays $437.89 for 52450 nationally in a facility.

Medicare rate · 52450

Prostate incision, outlet incision without tissue resection

Office or facility?

Work RVUs
7.59
Total RVUs
13.11
Global days
090

National rate · 2026

$437.89

Facility setting, before claim adjustments.

See every locality for 52450 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 52450 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 52450 covers

A urologist performs this endoscopic procedure to open the urinary channel by making incisions in prostate tissue, rather than removing prostate tissue. It is used for benign prostatic obstruction when the clinician expects incisions to improve flow, often with a relatively small prostate and no prominent median lobe. The procedure is generally performed in an operating room with anesthesia, using an endoscope passed through the urethra.

Report the service when the operative note supports an incision of the prostate to relieve obstruction; distinguish it from resection or vaporization procedures that remove or destroy tissue. Endoscopic visualization and access used to perform the incision are part of the operative service. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code, and co-surgeon and team-surgery billing 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 52450 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

52450 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$404.62
AlaskaUnavailable$559.63
ArizonaUnavailable$428.43
ArkansasUnavailable$400.51
Atlanta, GAUnavailable$447.71
Austin, TXUnavailable$443.40
Bakersfield, CAUnavailable$444.30
Baltimore area, MDUnavailable$460.82
Beaumont, TXUnavailable$421.92
Brazoria, TXUnavailable$431.28

52450 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
52450 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 52450 rate is calculated

Each of 52450’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 · 52450

RVUs × geographic indexes × conversion factor

Office or facility?

Work7.59

7.59 RVUs× 1.000 GPCI

Practice expense4.53

4.53 RVUs× 1.000 GPCI

Malpractice0.99

0.99 RVUs× 1.000 GPCI

Adjusted RVUs

13.1100

Conversion factor

$33.4009

Medicare rate

$437.89

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

Payment rules and modifiers for 52450

52450 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 52450

Prostate incision, outlet incision without tissue resection

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
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.
Split (54/55/56)0.08/0.83/0.09Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 52450

Prostate incision, outlet incision without tissue resection

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

52450 without 51 · national facility

$437.89

Prostate incision, outlet incision without tissue resection

52450-51 · Second procedure: 50%

$218.95

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

52450 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 52450

    Prostate incision, outlet incision without tissue resection7.59 wRVU

    Not priced

  • 52601

    TURP, electrosurgical resection9.75 wRVU

    Not priced

  • 52441

    Prostate implant, first implant3.9 wRVU

    $1,245.19

  • 52500

    Bladder neck resection, transurethral5.85 wRVU

    Not priced

How to choose

52601TURPElectrosurgical resection
Use 52450 for outlet relief by prostate incision without tissue removal. Use 52601 when prostate tissue is resected.
52441Prostate implantFirst implant
52441 places a transprostatic implant to hold the outlet open; 52450 relieves obstruction by incising prostate tissue.
52500Bladder neck resectionTransurethral
52500 addresses obstruction at the bladder neck. Use 52450 when the operative incision is in the prostate.

Codes related to 52450

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

Codes related to 52450
CodeHow it relatesNational office range
Used instead
52601TURP, electrosurgical resectionUsed for transurethral prostate resection when tissue removal, rather than incision alone, is performed.No office rate
52441Prostate implant, first implantProvides prostatic urethral support with an implant instead of opening the outlet by incision.$1,082.47–$1,737.78
52500Bladder neck resection, transurethralTargets an obstructing bladder neck rather than incising prostate tissue.No office rate

52450 billing questions

How does this differ from transurethral prostate resection?

This procedure opens the outlet with incisions and does not remove prostate tissue. A resection code is used when prostate tissue is actually removed.

Can diagnostic cystoscopy be billed separately?

Do not separately report cystoscopy when endoscopic visualization is performed as part of the prostate incision.

Should modifier 50 be used for incisions on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not used.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days.

Can an assistant surgeon or co-surgeon be billed?

Medicare does not pay an assistant at surgery for this code. Co-surgeon and team-surgery billing 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 52450PPRRVU2026_Oct_nonQPP.csv, line 6,161 (RVU26D)

Open CMS sourceHow we calculate rates

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