CPT code 52630: Prostate resection, residual or recurrent tissue2026 Medicare rate & RVUs in Michigan
Reports endoscopic removal of residual or recurrent obstructive prostate tissue, typically when urinary obstruction returns after an earlier prostate resection.
CMS doesn’t publish an office rate for 52630 in Michigan.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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.
Where 52630 pays more and less in Michigan
| Payment locality | Office | Facility |
|---|---|---|
| Detroit, MI | Unavailable | $390.39 |
| Rest of Michigan | Unavailable | $367.93 |
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.
How the rate is built · 52630
RVUs × geographic indexes × conversion factor
Work6.39
6.39 RVUs× 1.000 GPCI
Practice expense4.04
4.04 RVUs× 1.000 GPCI
Malpractice0.83
0.83 RVUs× 1.000 GPCI
Adjusted RVUs
11.2600
Conversion factor
$33.4009
Medicare rate
$376.09
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 52630
52630 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 52630
Prostate resection, residual or recurrent tissue
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| 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. |
| Split (54/55/56) | 0.08/0.83/0.09 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 52630
Prostate resection, residual or recurrent tissue
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
52630 without 51 · national facility
$376.09
Prostate resection, residual or recurrent tissue
52630-51 · Second procedure: 50%
$188.05
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%).
52630 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 52601TURPElectrosurgical resection
- Choose 52630 for residual or regrown obstructive tissue after an earlier prostate procedure. Choose 52601 for an initial transurethral prostate resection.
- 52640Bladder neck treatmentContracture resection
- 52640 addresses narrowing at the bladder neck. 52630 addresses obstructive prostate tissue that remains or regrows.
- 52648Laser prostate surgeryVaporization
- 52648 describes laser vaporization of prostate tissue. 52630 is for transurethral resection of residual or recurrent obstructive tissue.
- 52649Laser enucleationComplete gland enucleation
- 52649 describes laser enucleation of prostate tissue. 52630 is for transurethral resection of residual or recurrent obstructive tissue.
52630 billing questions
How is 52630 different from 52601?
52630 is for resection of obstructive prostate tissue that remains or regrows after an earlier prostate procedure. Use 52601 for an initial transurethral prostate resection.
Can bleeding control be billed separately?
Control of bleeding associated with the 52630 operative service is included. The code’s descriptor includes this work.
Should modifier 50 be reported?
No. The prostate is not a paired organ for this procedure, so modifier 50 is inappropriate.
What does the 90-day global period include?
It includes the day-before preoperative visit and related postoperative care for 90 days after surgery.
Can an assistant or co-surgeon be billed for 52630?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery 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
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