CPT code 53850: Prostate treatment, microwave thermotherapy2026 Medicare rate & RVUs in Montana
Urologists report transurethral microwave thermotherapy to heat obstructive prostate tissue as a minimally invasive treatment for lower urinary tract symptoms from benign prostatic enlargement.
In Montana, Medicare pays $1,427.18 for 53850 in the office and $330.96 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 53850 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 53850 covers
During transurethral microwave thermotherapy, a urologist passes a treatment catheter through the urethra and delivers microwave energy to heat prostate tissue contributing to bladder-outlet obstruction. The procedure is used for men with bothersome lower urinary tract symptoms associated with benign prostatic enlargement, such as weak stream, hesitancy, or frequency. It is generally performed in an outpatient urology setting.
Report this code for the microwave treatment, not for radiofrequency or water-vapor prostate therapy. Documentation should identify the prostate condition, symptoms, and treatment method. The 90-day global includes the day-before preoperative visit and related postoperative care during the 90 days after surgery. When other procedures occur in the same session, the highest-valued procedure is paid in full and additional procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery services are not paid, and 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 Montana compares for 53850
Across 109 of 109 payment localities, the office rate for 53850 runs from $1,243.15 in Arkansas to $1,979.23 in San Benito County, CA. Montana pays $1,427.18. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$1,427.18
- Los Angeles, CA · California$1,651.74+$224.56
- Washington, DC area · District of Columbia$1,657.94+$230.76
- Miami, FL · Florida$1,511.81+$84.63
- Chicago, IL · Illinois$1,463.58+$36.40
- Manhattan, NY · New York$1,650.64+$223.46
- Alaska · Alaska$1,585.20+$158.02
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $1,263.95 | $304.76 |
| ArkansasArkansas | $1,243.15 | $301.50 |
| ArizonaArizona | $1,385.91 | $323.68 |
| Bakersfield, CACalifornia | $1,539.76 | $338.30 |
| Chico, CACalifornia | $1,537.77 | $336.31 |
| El Centro, CACalifornia | $1,537.88 | $336.43 |
| Fresno, CACalifornia | $1,537.77 | $336.31 |
| Hanford, CACalifornia | $1,537.77 | $336.31 |
| Madera, CACalifornia | $1,537.77 | $336.31 |
| Merced, CACalifornia | $1,537.77 | $336.31 |
| Modesto, CACalifornia | $1,537.77 | $336.31 |
| Napa, CACalifornia | $1,817.98 | $373.16 |
| Oxnard, CACalifornia | $1,647.31 | $351.58 |
| Redding, CACalifornia | $1,537.77 | $336.31 |
| Rest of CaliforniaCalifornia | $1,537.77 | $336.31 |
| Riverside, CACalifornia | $1,545.04 | $343.59 |
| Sacramento, CACalifornia | $1,623.43 | $348.53 |
| Salinas, CACalifornia | $1,617.63 | $347.12 |
| San Diego, CACalifornia | $1,663.04 | $351.97 |
| Marin County, CACalifornia | $1,935.55 | $389.88 |
| San Francisco, CACalifornia | $1,934.79 | $389.12 |
| San Benito County, CACalifornia | $1,979.23 | $398.48 |
| Santa Clara County, CACalifornia | $1,976.12 | $395.37 |
| San Luis Obispo, CACalifornia | $1,590.59 | $342.00 |
| Santa Cruz, CACalifornia | $1,684.66 | $352.76 |
| Santa Maria, CACalifornia | $1,625.70 | $347.51 |
| Santa Rosa, CACalifornia | $1,702.22 | $356.07 |
| Stockton, CACalifornia | $1,537.77 | $336.31 |
| Vallejo, CACalifornia | $1,816.88 | $372.07 |
| Visalia, CACalifornia | $1,537.77 | $336.31 |
| Yuba City, CACalifornia | $1,537.77 | $336.31 |
| ColoradoColorado | $1,503.06 | $336.68 |
| ConnecticutConnecticut | $1,530.04 | $349.41 |
| DelawareDelaware | $1,411.10 | $328.04 |
| Fort Lauderdale, FLFlorida | $1,461.27 | $350.80 |
| Rest of FloridaFlorida | $1,384.42 | $336.44 |
| Atlanta, GAGeorgia | $1,451.90 | $338.15 |
| Rest of GeorgiaGeorgia | $1,298.84 | $321.01 |
| Hawaii, Guam, HIHawaii | $1,586.10 | $339.70 |
| IowaIowa | $1,309.30 | $306.27 |
| IdahoIdaho | $1,317.15 | $308.63 |
| East St. Louis, ILIllinois | $1,351.63 | $343.11 |
| Rest of IllinoisIllinois | $1,332.94 | $332.09 |
| Suburban Chicago, ILIllinois | $1,478.90 | $353.08 |
| IndianaIndiana | $1,326.04 | $309.84 |
| KansasKansas | $1,298.19 | $307.21 |
| KentuckyKentucky | $1,288.96 | $314.42 |
| New Orleans, LALouisiana | $1,357.78 | $326.24 |
| Rest of LouisianaLouisiana | $1,285.00 | $314.85 |
| Metropolitan Boston, MAMassachusetts | $1,670.32 | $361.43 |
| Rest of MassachusettsMassachusetts | $1,490.61 | $336.29 |
| Baltimore area, MDMaryland | $1,525.03 | $348.78 |
| Rest of MarylandMaryland | $1,441.89 | $332.52 |
| Rest of MaineMaine | $1,320.48 | $311.96 |
| Southern Maine, MEMaine | $1,407.91 | $321.55 |
| Detroit, MIMichigan | $1,399.58 | $341.73 |
| Rest of MichiganMichigan | $1,323.23 | $322.38 |
| MinnesotaMinnesota | $1,447.09 | $319.08 |
| Metropolitan Kansas City, MOMissouri | $1,351.77 | $322.42 |
| Metropolitan St. Louis, MOMissouri | $1,368.30 | $324.70 |
| Rest of MissouriMissouri | $1,257.11 | $312.17 |
| MississippiMississippi | $1,250.62 | $306.78 |
| North CarolinaNorth Carolina | $1,336.83 | $314.06 |
| North DakotaNorth Dakota | $1,413.93 | $317.71 |
| NebraskaNebraska | $1,318.71 | $306.90 |
| New HampshireNew Hampshire | $1,474.79 | $333.63 |
| Northern New JerseyNew Jersey | $1,636.41 | $364.80 |
| Rest of New JerseyNew Jersey | $1,549.47 | $352.40 |
| New MexicoNew Mexico | $1,329.75 | $324.52 |
| NevadaNevada | $1,424.71 | $327.40 |
| NYC suburbs and Long Island, NYNew York | $1,689.87 | $386.47 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $1,556.56 | $356.20 |
| Queens, NYNew York | $1,671.98 | $376.25 |
| Rest of New YorkNew York | $1,359.15 | $317.74 |
| OhioOhio | $1,320.52 | $319.67 |
| OklahomaOklahoma | $1,290.78 | $311.86 |
| Portland, OROregon | $1,560.68 | $342.78 |
| Rest of OregonOregon | $1,415.66 | $323.83 |
| Metropolitan Philadelphia, PAPennsylvania | $1,485.08 | $343.92 |
| Rest of PennsylvaniaPennsylvania | $1,325.25 | $318.93 |
| Puerto RicoPuerto Rico | $1,440.40 | $332.12 |
| Rhode IslandRhode Island | $1,468.69 | $336.30 |
| South CarolinaSouth Carolina | $1,330.50 | $317.59 |
| South DakotaSouth Dakota | $1,412.36 | $316.14 |
| TennesseeTennessee | $1,305.07 | $308.61 |
| Austin, TXTexas | $1,496.27 | $336.48 |
| Beaumont, TXTexas | $1,315.07 | $317.51 |
| Brazoria, TXTexas | $1,412.65 | $326.30 |
| Dallas, TXTexas | $1,420.72 | $328.88 |
| Fort Worth, TXTexas | $1,408.72 | $327.85 |
| Galveston, TXTexas | $1,416.18 | $327.64 |
| Houston, TXTexas | $1,428.45 | $339.90 |
| Rest of TexasTexas | $1,362.40 | $322.09 |
| UtahUtah | $1,351.23 | $320.78 |
| VirginiaVirginia | $1,399.76 | $322.18 |
| Virgin Islands, VIUnited States Virgin Islands | $1,440.40 | $332.12 |
| VermontVermont | $1,403.88 | $318.63 |
| Rest of WashingtonWashington | $1,489.27 | $334.96 |
| King County, WAWashington | $1,710.81 | $365.75 |
| WisconsinWisconsin | $1,360.14 | $309.96 |
| West VirginiaWest Virginia | $1,275.93 | $323.32 |
| WyomingWyoming | $1,421.40 | $325.18 |
53850 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.
$1,243.15
$1,758.50
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 | $1,585.20 | 1 |
| AL | $1,263.95 | 1 |
| AR | $1,243.15 | 1 |
| AZ | $1,385.91 | 1 |
| CA | $1,537.77–$1,979.23 | 29 |
| CO | $1,503.06 | 1 |
| CT | $1,530.04 | 1 |
| DC | $1,657.94 | 1 |
| DE | $1,411.10 | 1 |
| FL | $1,384.42–$1,511.81 | 3 |
| GA | $1,298.84–$1,451.90 | 2 |
| GU | $1,586.10 | 1 |
| HI | $1,586.10 | 1 |
| IA | $1,309.30 | 1 |
| ID | $1,317.15 | 1 |
| IL | $1,332.94–$1,478.90 | 4 |
| IN | $1,326.04 | 1 |
| KS | $1,298.19 | 1 |
| KY | $1,288.96 | 1 |
| LA | $1,285.00–$1,357.78 | 2 |
| MA | $1,490.61–$1,670.32 | 2 |
| MD | $1,441.89–$1,657.94 | 3 |
| ME | $1,320.48–$1,407.91 | 2 |
| MI | $1,323.23–$1,399.58 | 2 |
| MN | $1,447.09 | 1 |
| MO | $1,257.11–$1,368.30 | 3 |
| MS | $1,250.62 | 1 |
| MT | $1,427.18 | 1 |
| NC | $1,336.83 | 1 |
| ND | $1,413.93 | 1 |
| NE | $1,318.71 | 1 |
| NH | $1,474.79 | 1 |
| NJ | $1,549.47–$1,636.41 | 2 |
| NM | $1,329.75 | 1 |
| NV | $1,424.71 | 1 |
| NY | $1,359.15–$1,689.87 | 5 |
| OH | $1,320.52 | 1 |
| OK | $1,290.78 | 1 |
| OR | $1,415.66–$1,560.68 | 2 |
| PA | $1,325.25–$1,485.08 | 2 |
| PR | $1,440.40 | 1 |
| RI | $1,468.69 | 1 |
| SC | $1,330.50 | 1 |
| SD | $1,412.36 | 1 |
| TN | $1,305.07 | 1 |
| TX | $1,315.07–$1,496.27 | 8 |
| UT | $1,351.23 | 1 |
| VA | $1,399.76–$1,657.94 | 2 |
| VI | $1,440.40 | 1 |
| VT | $1,403.88 | 1 |
| WA | $1,489.27–$1,710.81 | 2 |
| WI | $1,360.14 | 1 |
| WV | $1,275.93 | 1 |
| WY | $1,421.40 | 1 |
How the 53850 rate is calculated
Each of 53850’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 · 53850
RVUs × geographic indexes × conversion factor
Work5.28
5.28 RVUs× 1.000 GPCI
Practice expense36.78
36.78 RVUs× 1.000 GPCI
Malpractice0.67
0.67 RVUs× 1.000 GPCI
Adjusted RVUs
42.7300
Conversion factor
$33.4009
Medicare rate
$1,427.22
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,227
- Code
- 53850
- Physician work
- 5.28
- Practice expense
- 36.78
- Malpractice
- 0.67
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.28 | × 1.000 | 5.2800 |
| Practice expense | 36.78 | × 1.000 | 36.7800 |
| Malpractice | 0.67 | × 0.998 | 0.6687 |
| Total RVUs | 42.7287 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Montana$1427.18
Office: (5.28 × 1 + 36.78 × 1 + 0.67 × 0.998) × $33.4009 = $1427.18
Facility: (5.28 × 1 + 3.96 × 1 + 0.67 × 0.998) × $33.4009 = $330.96
Payment rules and modifiers for 53850
53850 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 53850
Prostate treatment, microwave thermotherapy
| 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 · 53850
Prostate treatment, microwave thermotherapy
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
53850 without 51 · national office
$1,427.22
Prostate treatment, microwave thermotherapy
53850-51 · Second procedure: 50%
$713.61
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%).
How 53850 has changed in Montana
53850 · Office / nonfacility
$1427.18
Effective 2026-10-01
The base rate is $108.88 higher than on 2025-10-01, moving from $1318.30 to $1427.18 (8.3%).
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
$1318.30changed to$1427.18
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 5.42 changed to 5.28
- Practice expense RVU 34.70 changed to 36.78
- Malpractice RVU 0.65 changed to 0.67
- Malpractice GPCI 0.978 changed to 0.998
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1403.58changed to$1318.30
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 36.10 changed to 34.70
- Malpractice RVU 0.66 changed to 0.65
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1380.67changed to$1403.58
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1442.77changed to$1380.67
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 36.52 changed to 36.10
- Malpractice RVU 0.65 changed to 0.66
January 1, 2023
RVU23A
$1507.97changed to$1442.77
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 37.52 changed to 36.52
- Malpractice GPCI 0.977 changed to 0.978
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1612.94changed to$1507.97
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 40.18 changed to 37.52
- Malpractice RVU 0.64 changed to 0.65
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1607.02changed to$1612.94
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 38.30 changed to 40.18
- Malpractice RVU 0.62 changed to 0.64
- Malpractice GPCI 1.304 changed to 0.977
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1649.95changed to$1607.02
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 39.40 changed to 38.30
- Malpractice RVU 0.59 changed to 0.62
- Malpractice GPCI 1.631 changed to 1.304
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$2175.83changed to$1649.95
- Conversion factor 35.9996 changed to 36.0391
- Work RVU 10.08 changed to 5.42
- Practice expense RVU 48.55 changed to 39.40
- Malpractice RVU 1.11 changed to 0.59
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$2132.73changed to$2175.83
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 47.76 changed to 48.55
- Malpractice GPCI 1.429 changed to 1.631
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$2105.49changed to$2132.73
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 47.34 changed to 47.76
- Malpractice RVU 1.13 changed to 1.11
- Malpractice GPCI 1.226 changed to 1.429
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$2109.49changed to$2105.49
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 47.24 changed to 47.34
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$2098.99changed to$2109.49
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$2068.65changed to$2098.99
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 46.56 changed to 47.24
- Malpractice RVU 0.95 changed to 1.13
- Malpractice GPCI 1.165 changed to 1.226
Held through RVU15B.
January 1, 2014
RVU14A
$2105.07changed to$2068.65
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 50.70 changed to 46.56
- Malpractice RVU 0.99 changed to 0.95
- Malpractice GPCI 1.103 changed to 1.165
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $2105.07
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1,427.18 | $330.96 | RVU26D |
| 2026-07-01 | $1,427.18 | $330.96 | RVU26C |
| 2026-04-01 | $1,427.18 | $330.96 | RVU26B |
| 2026-01-01 | $1,427.18 | $330.96 | RVU26A |
| 2025-10-01 | $1,318.30 | $349.20 | RVU25D |
| 2025-07-01 | $1,318.30 | $349.20 | RVU25C |
| 2025-04-01 | $1,318.30 | $349.20 | RVU25B |
| 2025-01-01 | $1,318.30 | $349.20 | RVU25A |
| 2024-10-01 | $1,403.58 | $356.36 | RVU24D |
| 2024-07-01 | $1,403.58 | $356.36 | RVU24C |
| 2024-04-01 | $1,403.58 | $356.36 | RVU24B |
| 2024-03-09 | $1,403.58 | $356.36 | RVU24AR |
| 2024-01-01 | $1,380.67 | $350.54 | RVU24A |
| 2023-10-01 | $1,442.77 | $356.35 | RVU23D |
| 2023-07-01 | $1,442.77 | $356.35 | RVU23C |
| 2023-04-01 | $1,442.77 | $356.35 | RVU23B |
| 2023-01-01 | $1,442.77 | $356.35 | RVU23A |
| 2022-10-01 | $1,507.97 | $358.69 | RVU22D |
| 2022-07-01 | $1,507.97 | $358.69 | RVU22C |
| 2022-04-01 | $1,507.97 | $358.69 | RVU22B |
| 2022-01-01 | $1,507.97 | $358.69 | RVU22A |
| 2021-10-01 | $1,612.94 | $359.23 | RVU21D |
| 2021-07-01 | $1,612.94 | $359.23 | RVU21C |
| 2021-04-01 | $1,612.94 | $359.23 | RVU21B |
| 2021-01-01 | $1,612.94 | $359.23 | RVU21A |
| 2020-10-01 | $1,607.02 | $371.31 | RVU20D |
| 2020-07-01 | $1,607.02 | $371.31 | RVU20C |
| 2020-04-01 | $1,607.02 | $371.31 | RVU20B |
| 2020-01-01 | $1,607.02 | $371.31 | RVU20A |
| 2019-10-01 | $1,649.95 | $377.41 | RVU19D |
| 2019-07-01 | $1,649.95 | $377.41 | RVU19C |
| 2019-04-01 | $1,649.95 | $377.41 | RVU19B |
| 2019-01-01 | $1,649.95 | $377.41 | RVU19A |
| 2018-10-01 | $2,175.83 | $658.45 | RVU18D |
| 2018-07-01 | $2,175.83 | $658.45 | RVU18C |
| 2018-04-01 | $2,175.83 | $658.45 | RVU18B |
| 2018-01-01 | $2,175.83 | $658.45 | RVU18AR1 |
| 2017-10-01 | $2,132.73 | $645.50 | RVU17D |
| 2017-07-01 | $2,132.73 | $645.50 | RVU17C |
| 2017-04-01 | $2,132.73 | $645.50 | RVU17B |
| 2017-01-01 | $2,132.73 | $645.50 | RVU17A |
| 2016-10-01 | $2,105.49 | $633.21 | RVU16D |
| 2016-07-01 | $2,105.49 | $633.21 | RVU16C |
| 2016-04-01 | $2,105.49 | $633.21 | RVU16B |
| 2016-01-01 | $2,105.49 | $633.21 | RVU16A |
| 2015-10-01 | $2,109.49 | $634.42 | RVU15D |
| 2015-07-01 | $2,109.49 | $634.42 | RVU15C |
| 2015-04-01 | $2,098.99 | $631.26 | RVU15B |
| 2015-01-01 | $2,098.99 | $631.26 | RVU15A |
| 2014-10-01 | $2,068.65 | $621.41 | RVU14D |
| 2014-07-01 | $2,068.65 | $621.41 | RVU14C |
| 2014-04-01 | $2,068.65 | $621.41 | RVU14B |
| 2014-01-01 | $2,068.65 | $621.41 | RVU14A |
| 2013-10-01 | $2,105.07 | $602.95 | RVU13D |
| 2013-07-01 | $2,105.07 | $602.95 | RVU13C |
| 2013-04-01 | $2,105.07 | $602.95 | RVU13B |
| 2013-01-01 | $2,105.07 | $602.95 | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
53850 billing questions
How does this differ from CPT 53852?
CPT 53850 is for microwave thermotherapy. CPT 53852 is for transurethral radiofrequency thermotherapy.
How does this differ from CPT 53854?
CPT 53854 describes prostate tissue destruction using radiofrequency-generated water vapor. CPT 53850 uses microwave energy delivered through a treatment catheter.
Should modifier 50 be appended?
No. The descriptor and anatomy make bilateral adjustment inappropriate.
What postoperative care is included?
The 90-day global includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
What should the record support?
Document the prostate condition and symptoms, and identify microwave thermotherapy as the treatment performed.
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
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