CPT code 53852: Prostate ablation, radiofrequency thermotherapy2026 Medicare rate & RVUs in Napa, CA
Reports transurethral radiofrequency thermotherapy that destroys prostate tissue, typically to treat urinary symptoms from benign prostatic enlargement.
In Napa, CA, Medicare pays $1,771.06 for 53852 in the office and $396.68 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 53852 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 53852 covers
A urologist delivers radiofrequency heat through a transurethral device to destroy prostate tissue, generally to relieve lower urinary tract symptoms associated with benign prostatic enlargement. The treatment is performed through the urethra and may occur in an office or facility setting. This code identifies the radiofrequency thermotherapy method, not prostate tissue treatment by microwave energy or radiofrequency-generated water vapor.
Select the code from the documented treatment method; the operative report should identify radiofrequency thermotherapy and describe the procedure performed. The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is not appropriate for this prostate procedure. Medicare does not pay an assistant at surgery for this service, 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 Napa, CA compares for 53852
Across 109 of 109 payment localities, the office rate for 53852 runs from $1,218.19 in Arkansas to $1,926.95 in San Benito County, CA. Napa, CA pays $1,771.06. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Napa, CA · this page$1,771.06
- Bakersfield, CA · California$1,503.49−$267.57
- Chico, CA · California$1,501.27−$269.79
- El Centro, CA · California$1,501.40−$269.66
- Fresno, CA · California$1,501.27−$269.79
- Hanford, CA · California$1,501.27−$269.79
- Los Angeles, CA · California$1,611.63−$159.43
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | $1,501.27 | $358.39 |
| Merced, CACalifornia | $1,501.27 | $358.39 |
| Modesto, CACalifornia | $1,501.27 | $358.39 |
| Oxnard, CACalifornia | $1,606.92 | $374.36 |
| Redding, CACalifornia | $1,501.27 | $358.39 |
| Rest of CaliforniaCalifornia | $1,501.27 | $358.39 |
| Riverside, CACalifornia | $1,509.41 | $366.53 |
| Sacramento, CACalifornia | $1,583.89 | $371.15 |
| Salinas, CACalifornia | $1,578.22 | $369.64 |
| San Diego, CACalifornia | $1,621.77 | $374.61 |
| Marin County, CACalifornia | $1,884.42 | $414.10 |
| San Francisco, CACalifornia | $1,883.57 | $413.25 |
| San Benito County, CACalifornia | $1,926.95 | $423.27 |
| Santa Clara County, CACalifornia | $1,923.47 | $419.78 |
| San Luis Obispo, CACalifornia | $1,551.95 | $364.22 |
| Santa Cruz, CACalifornia | $1,642.27 | $375.30 |
| Santa Maria, CACalifornia | $1,585.89 | $370.01 |
| Santa Rosa, CACalifornia | $1,659.33 | $378.80 |
| Stockton, CACalifornia | $1,501.27 | $358.39 |
| Vallejo, CACalifornia | $1,769.83 | $395.45 |
| Visalia, CACalifornia | $1,501.27 | $358.39 |
| Yuba City, CACalifornia | $1,501.27 | $358.39 |
| Washington, DC areaDistrict of Columbia | $1,619.50 | $391.11 |
| Miami, FLFlorida | $1,483.11 | $397.58 |
| Chicago, ILIllinois | $1,436.18 | $388.19 |
| Manhattan, NYNew York | $1,614.43 | $402.72 |
| AlaskaAlaska | $1,558.37 | $447.81 |
| AlabamaAlabama | $1,238.32 | $325.89 |
| ArkansasArkansas | $1,218.19 | $322.45 |
| ArizonaArizona | $1,356.35 | $345.90 |
| ColoradoColorado | $1,468.74 | $359.23 |
| ConnecticutConnecticut | $1,496.35 | $373.28 |
| DelawareDelaware | $1,380.79 | $350.52 |
| Fort Lauderdale, FLFlorida | $1,432.05 | $375.72 |
| Rest of FloridaFlorida | $1,357.24 | $360.35 |
| Atlanta, GAGeorgia | $1,420.96 | $361.50 |
| Rest of GeorgiaGeorgia | $1,274.04 | $343.88 |
| Hawaii, Guam, HIHawaii | $1,547.38 | $361.75 |
| IowaIowa | $1,281.22 | $327.08 |
| IdahoIdaho | $1,289.02 | $329.67 |
| East St. Louis, ILIllinois | $1,327.62 | $368.27 |
| Rest of IllinoisIllinois | $1,308.08 | $356.02 |
| Suburban Chicago, ILIllinois | $1,449.00 | $378.07 |
| IndianaIndiana | $1,297.59 | $330.94 |
| KansasKansas | $1,270.94 | $328.27 |
| KentuckyKentucky | $1,263.56 | $336.53 |
| New Orleans, LALouisiana | $1,330.37 | $349.12 |
| Rest of LouisianaLouisiana | $1,259.93 | $337.07 |
| Metropolitan Boston, MAMassachusetts | $1,630.26 | $385.18 |
| Rest of MassachusettsMassachusetts | $1,456.95 | $358.91 |
| Baltimore area, MDMaryland | $1,491.54 | $372.64 |
| Rest of MarylandMaryland | $1,410.51 | $355.22 |
| Rest of MaineMaine | $1,292.75 | $333.40 |
| Southern Maine, MEMaine | $1,376.64 | $343.25 |
| Detroit, MIMichigan | $1,372.43 | $366.15 |
| Rest of MichiganMichigan | $1,297.20 | $345.15 |
| MinnesotaMinnesota | $1,413.03 | $340.01 |
| Metropolitan Kansas City, MOMissouri | $1,324.03 | $344.87 |
| Metropolitan St. Louis, MOMissouri | $1,339.98 | $347.26 |
| Rest of MissouriMissouri | $1,233.22 | $334.35 |
| MississippiMississippi | $1,226.16 | $328.33 |
| MontanaMontana | $1,396.44 | $353.67 |
| North CarolinaNorth Carolina | $1,308.50 | $335.59 |
| North DakotaNorth Dakota | $1,381.61 | $338.84 |
| NebraskaNebraska | $1,290.17 | $327.69 |
| New HampshireNew Hampshire | $1,441.67 | $356.14 |
| Northern New JerseyNew Jersey | $1,598.90 | $389.28 |
| Rest of New JerseyNew Jersey | $1,515.06 | $376.34 |
| New MexicoNew Mexico | $1,303.72 | $347.50 |
| NevadaNevada | $1,393.49 | $349.67 |
| NYC suburbs and Long Island, NYNew York | $1,653.03 | $413.17 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $1,522.39 | $380.55 |
| Queens, NYNew York | $1,634.39 | $401.82 |
| Rest of New YorkNew York | $1,330.13 | $339.50 |
| OhioOhio | $1,294.17 | $342.12 |
| OklahomaOklahoma | $1,264.82 | $333.62 |
| Portland, OROregon | $1,523.97 | $365.44 |
| Rest of OregonOregon | $1,384.34 | $345.73 |
| Metropolitan Philadelphia, PAPennsylvania | $1,453.12 | $367.59 |
| Rest of PennsylvaniaPennsylvania | $1,298.49 | $341.22 |
| Puerto RicoPuerto Rico | $1,409.08 | $354.83 |
| Rhode IslandRhode Island | $1,436.34 | $359.15 |
| South CarolinaSouth Carolina | $1,303.18 | $339.65 |
| South DakotaSouth Dakota | $1,379.86 | $337.08 |
| TennesseeTennessee | $1,277.66 | $329.78 |
| Austin, TXTexas | $1,462.37 | $359.11 |
| Beaumont, TXTexas | $1,288.66 | $339.73 |
| Brazoria, TXTexas | $1,381.92 | $348.53 |
| Dallas, TXTexas | $1,389.96 | $351.35 |
| Fort Worth, TXTexas | $1,378.50 | $350.32 |
| Galveston, TXTexas | $1,385.48 | $350.00 |
| Houston, TXTexas | $1,399.21 | $363.73 |
| Rest of TexasTexas | $1,333.96 | $344.37 |
| UtahUtah | $1,323.23 | $343.02 |
| VirginiaVirginia | $1,369.09 | $344.05 |
| Virgin Islands, VIUnited States Virgin Islands | $1,409.08 | $354.83 |
| VermontVermont | $1,372.33 | $339.98 |
| Rest of WashingtonWashington | $1,455.47 | $357.43 |
| King County, WAWashington | $1,669.05 | $389.57 |
| WisconsinWisconsin | $1,329.66 | $330.68 |
| West VirginiaWest Virginia | $1,252.92 | $346.75 |
| WyomingWyoming | $1,389.98 | $347.20 |
53852 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.
$1,218.19
$1,714.11
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 | $1,558.37 | 1 |
| AL | $1,238.32 | 1 |
| AR | $1,218.19 | 1 |
| AZ | $1,356.35 | 1 |
| CA | $1,501.27–$1,926.95 | 29 |
| CO | $1,468.74 | 1 |
| CT | $1,496.35 | 1 |
| DC | $1,619.50 | 1 |
| DE | $1,380.79 | 1 |
| FL | $1,357.24–$1,483.11 | 3 |
| GA | $1,274.04–$1,420.96 | 2 |
| GU | $1,547.38 | 1 |
| HI | $1,547.38 | 1 |
| IA | $1,281.22 | 1 |
| ID | $1,289.02 | 1 |
| IL | $1,308.08–$1,449.00 | 4 |
| IN | $1,297.59 | 1 |
| KS | $1,270.94 | 1 |
| KY | $1,263.56 | 1 |
| LA | $1,259.93–$1,330.37 | 2 |
| MA | $1,456.95–$1,630.26 | 2 |
| MD | $1,410.51–$1,619.50 | 3 |
| ME | $1,292.75–$1,376.64 | 2 |
| MI | $1,297.20–$1,372.43 | 2 |
| MN | $1,413.03 | 1 |
| MO | $1,233.22–$1,339.98 | 3 |
| MS | $1,226.16 | 1 |
| MT | $1,396.44 | 1 |
| NC | $1,308.50 | 1 |
| ND | $1,381.61 | 1 |
| NE | $1,290.17 | 1 |
| NH | $1,441.67 | 1 |
| NJ | $1,515.06–$1,598.90 | 2 |
| NM | $1,303.72 | 1 |
| NV | $1,393.49 | 1 |
| NY | $1,330.13–$1,653.03 | 5 |
| OH | $1,294.17 | 1 |
| OK | $1,264.82 | 1 |
| OR | $1,384.34–$1,523.97 | 2 |
| PA | $1,298.49–$1,453.12 | 2 |
| PR | $1,409.08 | 1 |
| RI | $1,436.34 | 1 |
| SC | $1,303.18 | 1 |
| SD | $1,379.86 | 1 |
| TN | $1,277.66 | 1 |
| TX | $1,288.66–$1,462.37 | 8 |
| UT | $1,323.23 | 1 |
| VA | $1,369.09–$1,619.50 | 2 |
| VI | $1,409.08 | 1 |
| VT | $1,372.33 | 1 |
| WA | $1,455.47–$1,669.05 | 2 |
| WI | $1,329.66 | 1 |
| WV | $1,252.92 | 1 |
| WY | $1,389.98 | 1 |
How the 53852 rate is calculated
Each of 53852’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 · 53852
RVUs × geographic indexes × conversion factor
Work5.78
5.78 RVUs× 1.000 GPCI
Practice expense35.28
35.28 RVUs× 1.000 GPCI
Malpractice0.75
0.75 RVUs× 1.000 GPCI
Adjusted RVUs
41.8100
Conversion factor
$33.4009
Medicare rate
$1,396.49
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Napa, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,228
- Code
- 53852
- Physician work
- 5.78
- Practice expense
- 35.28
- Malpractice
- 0.75
GPCI2026.csv
17
- Locality
- Napa, CA
- Physician work
- 1.063
- Practice expense
- 1.318
- Malpractice
- 0.508
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.78 | × 1.063 | 6.1441 |
| Practice expense | 35.28 | × 1.318 | 46.4990 |
| Malpractice | 0.75 | × 0.508 | 0.3810 |
| Total RVUs | 53.0242 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Napa, CA$1771.06
Office: (5.78 × 1.063 + 35.28 × 1.318 + 0.75 × 0.508) × $33.4009 = $1771.06
Facility: (5.78 × 1.063 + 4.06 × 1.318 + 0.75 × 0.508) × $33.4009 = $396.68
Payment rules and modifiers for 53852
53852 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 53852
Prostate ablation, radiofrequency 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 · 53852
Prostate ablation, radiofrequency 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
53852 without 51 · national office
$1,396.49
Prostate ablation, radiofrequency thermotherapy
53852-51 · Second procedure: 50%
$698.25
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 53852 has changed in Napa, CA
53852 · Office / nonfacility
$1771.06
Effective 2026-10-01
The base rate is $148.92 higher than on 2025-10-01, moving from $1622.14 to $1771.06 (9.2%).
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
$1622.14changed to$1771.06
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 5.93 changed to 5.78
- Practice expense RVU 33.21 changed to 35.28
- Malpractice RVU 0.71 changed to 0.75
- Work GPCI 1.058 changed to 1.063
- Practice expense GPCI 1.310 changed to 1.318
- Malpractice GPCI 0.521 changed to 0.508
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1726.80changed to$1622.14
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 34.52 changed to 33.21
- Malpractice RVU 0.73 changed to 0.71
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1698.62changed to$1726.80
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1721.50changed to$1698.62
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 34.94 changed to 34.52
- Malpractice RVU 0.72 changed to 0.73
- Work GPCI 1.051 changed to 1.058
- Practice expense GPCI 1.265 changed to 1.310
- Malpractice GPCI 0.513 changed to 0.521
January 1, 2023
RVU23A
$1741.22changed to$1721.50
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 35.87 changed to 34.94
- Work GPCI 1.044 changed to 1.051
- Practice expense GPCI 1.220 changed to 1.265
- Malpractice GPCI 0.504 changed to 0.513
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1858.57changed to$1741.22
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 38.30 changed to 35.87
- Malpractice RVU 0.69 changed to 0.72
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1863.07changed to$1858.57
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 36.41 changed to 38.30
- Malpractice RVU 0.66 changed to 0.69
- Work GPCI 1.049 changed to 1.044
- Practice expense GPCI 1.238 changed to 1.220
- Malpractice GPCI 0.496 changed to 0.504
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1928.66changed to$1863.07
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 37.39 changed to 36.41
- Malpractice RVU 0.65 changed to 0.66
- Work GPCI 1.055 changed to 1.049
- Practice expense GPCI 1.256 changed to 1.238
- Malpractice GPCI 0.458 changed to 0.496
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$2380.34changed to$1928.66
- Conversion factor 35.9996 changed to 36.0391
- Work RVU 10.83 changed to 5.93
- Practice expense RVU 43.11 changed to 37.39
- Malpractice RVU 1.20 changed to 0.65
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$2363.60changed to$2380.34
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 42.36 changed to 43.11
- Work GPCI 1.057 changed to 1.055
- Practice expense GPCI 1.271 changed to 1.256
- Malpractice GPCI 0.477 changed to 0.458
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$2363.60
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1,771.06 | $396.68 | RVU26D |
| 2026-07-01 | $1,771.06 | $396.68 | RVU26C |
| 2026-04-01 | $1,771.06 | $396.68 | RVU26B |
| 2026-01-01 | $1,771.06 | $396.68 | RVU26A |
| 2025-10-01 | $1,622.14 | $423.38 | RVU25D |
| 2025-07-01 | $1,622.14 | $423.38 | RVU25C |
| 2025-04-01 | $1,622.14 | $423.38 | RVU25B |
| 2025-01-01 | $1,622.14 | $423.38 | RVU25A |
| 2024-10-01 | $1,726.80 | $431.69 | RVU24D |
| 2024-07-01 | $1,726.80 | $431.69 | RVU24C |
| 2024-04-01 | $1,726.80 | $431.69 | RVU24B |
| 2024-03-09 | $1,726.80 | $431.69 | RVU24AR |
| 2024-01-01 | $1,698.62 | $424.64 | RVU24A |
| 2023-10-01 | $1,721.50 | $422.62 | RVU23D |
| 2023-07-01 | $1,721.50 | $422.62 | RVU23C |
| 2023-04-01 | $1,721.50 | $422.62 | RVU23B |
| 2023-01-01 | $1,721.50 | $422.62 | RVU23A |
| 2022-10-01 | $1,741.22 | $415.95 | RVU22D |
| 2022-07-01 | $1,741.22 | $415.95 | RVU22C |
| 2022-04-01 | $1,741.22 | $415.95 | RVU22B |
| 2022-01-01 | $1,741.22 | $415.95 | RVU22A |
| 2021-10-01 | $1,858.57 | $416.31 | RVU21D |
| 2021-07-01 | $1,858.57 | $416.31 | RVU21C |
| 2021-04-01 | $1,858.57 | $416.31 | RVU21B |
| 2021-01-01 | $1,858.57 | $416.31 | RVU21A |
| 2020-10-01 | $1,863.07 | $425.30 | RVU20D |
| 2020-07-01 | $1,863.07 | $425.30 | RVU20C |
| 2020-04-01 | $1,863.07 | $425.30 | RVU20B |
| 2020-01-01 | $1,863.07 | $425.30 | RVU20A |
| 2019-10-01 | $1,928.66 | $429.93 | RVU19D |
| 2019-07-01 | $1,928.66 | $429.93 | RVU19C |
| 2019-04-01 | $1,928.66 | $429.93 | RVU19B |
| 2019-01-01 | $1,928.66 | $429.93 | RVU19A |
| 2018-10-01 | $2,380.34 | $703.75 | RVU18D |
| 2018-07-01 | $2,380.34 | $703.75 | RVU18C |
| 2018-04-01 | $2,380.34 | $703.75 | RVU18B |
| 2018-01-01 | $2,380.34 | $703.75 | RVU18AR1 |
| 2017-10-01 | $2,363.60 | $702.32 | RVU17D |
| 2017-07-01 | $2,363.60 | $702.32 | RVU17C |
| 2017-04-01 | $2,363.60 | $702.32 | RVU17B |
| 2017-01-01 | $2,363.60 | $702.32 | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Napa, CA rate applies
Napa, CA is a Medicare payment area, not a city. Our Census mapping connects it to 11 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Napa
- American Canyon
- Angwin
- Calistoga
- Deer Park
- Moskowite Corner
- Oakville
- Rutherford
53852 billing questions
How is this code different from 53850?
53852 identifies prostate tissue treatment using radiofrequency thermotherapy. Use 53850 when the documented method is microwave thermotherapy.
How is this different from 53854?
53854 is for radiofrequency-generated water vapor thermotherapy. Choose 53852 when the documented technique is radiofrequency thermotherapy rather than water vapor treatment.
Should modifier 50 be appended?
No. Modifier 50 is not appropriate for this prostate procedure.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
What happens if another procedure is performed in the same session?
The highest-valued procedure is paid in full; other procedures are subject to the standard multiple-procedure reduction.
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
Fee sheets
Put 53852 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet