CPT code 52450: Prostate incision, outlet incision without tissue resection2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $482.24 for 52450 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 52450 nationwide

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

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.

How Washington, DC area compares for 52450

Across 109 of 109 payment localities, the facility rate for 52450 runs from $400.51 in Arkansas to $559.63 in Alaska. Washington, DC area pays $482.24. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

52450 rates by state

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

See 52450 in every payment locality

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.

Payment rules and modifiers for 52450

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

What modifiers do to the payment

When to use modifier 51

Codes related to 52450

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

How 52450 has changed in Washington, DC area

Price 52450 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

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

Open CMS sourceHow we calculate rates