CPT code 53854: Prostate ablation, radiofrequency water vapor2026 Medicare rate & RVUs in Wisconsin

In Wisconsin, Medicare pays $3,244.75 for 53854 in the office and $331.00 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 53854 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 53854 covers

A urologist uses a transurethral endoscopic approach to deliver radiofrequency-generated water vapor into prostate tissue. The resulting thermal injury treats benign prostatic enlargement that contributes to lower urinary tract symptoms, such as difficulty emptying the bladder or a weak urinary stream. The service is commonly performed in an outpatient setting, including an office or a hospital or ambulatory surgery facility.

Select this code when the documented prostate tissue treatment uses the water-vapor method, rather than microwave or another radiofrequency technique. The operative record should identify the indication, approach, and treatment method. 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 the others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeon and team-surgery reporting 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 Wisconsin compares for 53854

Across 109 of 109 payment localities, the office rate for 53854 runs from $2,935.37 in Arkansas to $4,809.57 in San Benito County, CA. Wisconsin pays $3,244.75. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

53854 rates by state

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

See 53854 in every payment locality

How the 53854 rate is calculated

Each of 53854’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 53854

53854 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 53854

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

How 53854 has changed in Wisconsin

Price 53854 for an earlier date of service

Where the Wisconsin rate applies

Wisconsin is a Medicare payment area, not a city. Our Census mapping connects it to 807 cities and communities in Wisconsin. Some span more than one payment area; confirm with the service ZIP.

• Abbotsford
• Abrams
• Adams
• Adell
• Albany
• Algoma
• Allens Grove
• Allenton

Browse all communities in Wisconsin

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