CPT code 52630: Prostate resection, residual or recurrent tissue2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $372.74 for 52630 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 52630 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 52630 covers

A urologist uses a transurethral resectoscope to remove prostate tissue that remains after an earlier resection or has regrown and is again obstructing urine flow. The typical setting is a hospital or ambulatory surgery center, with the patient under anesthesia. The service addresses recurrent or persistent obstruction from prostate tissue, rather than obstruction caused by a bladder-neck contracture. Control of bleeding associated with the operative service is included in this code.

Report 52630 when the operative findings and procedure document removal of residual or recurrent obstructive prostate tissue, not an initial resection of the prostate. The operative note should establish the prior prostate procedure, the obstructive tissue encountered, and the transurethral resection performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. The prostate is not a paired organ for this service, so modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code; 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 Delaware compares for 52630

Across 109 of 109 payment localities, the facility rate for 52630 runs from $343.62 in Arkansas to $479.13 in Alaska. Delaware pays $372.74. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

52630 rates by state

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

See 52630 in every payment locality

How the 52630 rate is calculated

Each of 52630’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 52630

52630 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 52630

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

How 52630 has changed in Delaware

Price 52630 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

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