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CPT code 53860: Prostate treatment, transurethral radiofrequency2026 Medicare rate & RVUs in South Dakota

Reports transurethral radiofrequency treatment of prostate tissue, typically for urinary symptoms associated with benign prostatic enlargement.

CMS RVU26DEffective Oct 1, 2026One payment locality22 Medicare services in 2024

In South Dakota, Medicare pays $2,380.86 for 53860 in the office and $191.10 when it’s performed in a hospital or facility.

$2,380.86Office (non-facility)
$191.10Hospital or facility
−0.4%vs the national office rate ($2,391.50)

Check a contract rate as a % of Medicare · 53860 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 53860 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 53860 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 53860 covers

A urologist delivers radiofrequency energy to prostate tissue through a transurethral instrument to treat enlargement-related urinary obstruction. The treatment is performed in an office or other outpatient setting; the instrument and treatment method distinguish it from microwave thermotherapy, water-vapor treatment, and tissue resection. The clinical record should support the prostate condition being treated and describe the procedure and radiofrequency technique used.

Report the code for the transurethral radiofrequency treatment itself, with documentation identifying the treated tissue and method. Medicare assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; 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 South Dakota compares for 53860

Across 109 of 109 payment localities, the office rate for 53860 runs from $2,067.01 in Arkansas to $3,391.11 in San Benito County, CA. South Dakota pays $2,380.86. The RVUs are the same everywhere; the geographic indexes change the dollars.

53860 in South Dakota vs other payment areas
  1. South Dakota · this page$2,380.86
  2. Los Angeles, CA · California$2,802.47+$421.61
  3. Washington, DC area · District of Columbia$2,800.12+$419.26
  4. Miami, FL · Florida$2,508.11+$127.25
  5. Chicago, IL · Illinois$2,424.40+$43.54
  6. Manhattan, NY · New York$2,773.06+$392.20
  7. Alaska · Alaska$2,594.94+$214.08

Other areas in South Dakota first, then benchmark localities. Bars start at $0.

Every other payment area

53860 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$2,103.77$187.73
ArkansasArkansas$2,067.01$186.01
ArizonaArizona$2,319.56$197.68
Bakersfield, CACalifornia$2,603.33$203.35
Chico, CACalifornia$2,601.90$201.92
El Centro, CACalifornia$2,601.98$202.00
Fresno, CACalifornia$2,601.90$201.92
Hanford, CACalifornia$2,601.90$201.92

53860 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$2,067.01

$2,996.51

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
53860 office rate range by state
State / territoryOffice rate rangeLocalities
AK$2,594.941
AL$2,103.771
AR$2,067.011
AZ$2,319.561
CA$2,601.90–$3,391.1129
CO$2,533.301
CT$2,570.411
DC$2,800.121
DE$2,363.581
FL$2,300.74–$2,508.113
GA$2,151.99–$2,431.052
GU$2,692.491
HI$2,692.491
IA$2,190.911
ID$2,203.361
IL$2,205.11–$2,465.434
IN$2,219.291
KS$2,167.921
KY$2,140.811
LA$2,132.52–$2,261.162
MA$2,509.37–$2,830.812
MD$2,418.44–$2,800.123
ME$2,205.75–$2,365.372
MI$2,198.15–$2,323.892
MN$2,445.361
MO$2,081.11–$2,283.723
MS$2,075.101
MT$2,391.471
NC$2,235.221
ND$2,381.981
NE$2,208.571
NH$2,481.601
NJ$2,604.88–$2,760.132
NM$2,208.291
NV$2,391.071
NY$2,274.43–$2,838.055
OH$2,196.211
OK$2,147.581
OR$2,377.76–$2,638.802
PA$2,206.43–$2,489.022
PR$2,415.971
RI$2,466.351
SC$2,218.391
SD$2,380.861
TN$2,179.681
TX$2,188.21–$2,520.228
UT$2,255.101
VA$2,348.61–$2,800.122
VI$2,415.971
VT$2,361.121
WA$2,508.40–$2,904.922
WI$2,286.071
WV$2,104.161
WY$2,387.341

See 53860 in every payment locality

How the 53860 rate is calculated

Each of 53860’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 · 53860

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.87

3.87 RVUs× 1.000 GPCI

Practice expense67.25

67.25 RVUs× 1.000 GPCI

Malpractice0.48

0.48 RVUs× 1.000 GPCI

Adjusted RVUs

71.6000

Conversion factor

$33.4009

Medicare rate

$2,391.50

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact South Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,231

Code
53860
Physician work
3.87
Practice expense
67.25
Malpractice
0.48

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 53860 in South Dakota
ComponentRVULocality factorAdjusted
Physician work3.87× 1.0003.8700
Practice expense67.25× 1.00067.2500
Malpractice0.48× 0.3360.1613
Total RVUs71.2813
Conversion factor× 33.4009

Office rate, South Dakota$2380.86

Office: (3.87 × 1 + 67.25 × 1 + 0.48 × 0.336) × $33.4009 = $2380.86

Facility: (3.87 × 1 + 1.69 × 1 + 0.48 × 0.336) × $33.4009 = $191.10

Open 53860 in the RVU calculator

Payment rules and modifiers for 53860

53860 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 53860

Prostate treatment, transurethral radiofrequency

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.08/0.83/0.09Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 53860

Prostate treatment, transurethral radiofrequency

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

53860 without 51 · national office

$2,391.50

Prostate treatment, transurethral radiofrequency

53860-51 · Second procedure: 50%

$1,195.75

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%).

When to use modifier 51

Codes related to 53860

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

Codes related to 53860
CodeHow it relatesOffice range, South Dakota
Used instead
53852Prostate ablation, radiofrequency thermotherapyRadiofrequency thermotherapy of prostate tissue; choose according to the technique performed.$1,379.86
53850Prostate treatment, microwave thermotherapyMicrowave thermotherapy treats prostate tissue using a different energy method.$1,412.36
53854Prostate ablation, radiofrequency water vaporRadiofrequency-generated water-vapor thermotherapy is a distinct prostate treatment method.$3,378.90

How 53860 has changed in South Dakota

53860 · Office / nonfacility

$2380.86

Effective 2026-10-01

The base rate is $193.56 higher than on 2025-10-01, moving from $2187.30 to $2380.86 (8.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $2187.30changed to$2380.86

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.97 changed to 3.87
    • Practice expense RVU 63.46 changed to 67.25
    • Malpractice RVU 0.50 changed to 0.48
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $2349.88changed to$2187.30

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 66.44 changed to 63.46
    • Malpractice RVU 0.48 changed to 0.50

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $2311.52changed to$2349.88

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $2429.41changed to$2311.52

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 67.55 changed to 66.44
    • Malpractice RVU 0.47 changed to 0.48
    • Malpractice GPCI 0.364 changed to 0.382

  5. January 1, 2023

    RVU23A

    $2557.61changed to$2429.41

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 69.78 changed to 67.55
    • Malpractice RVU 0.45 changed to 0.47
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $2470.30changed to$2557.61

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 66.67 changed to 69.78

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $2146.58changed to$2470.30

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 55.34 changed to 66.67
    • Malpractice RVU 0.46 changed to 0.45
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1890.51changed to$2146.58

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 48.32 changed to 55.34
    • Malpractice RVU 0.43 changed to 0.46
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1620.74changed to$1890.51

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 40.88 changed to 48.32
    • Malpractice RVU 0.44 changed to 0.43

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $1587.99changed to$1620.74

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 40.10 changed to 40.88
    • Malpractice RVU 0.45 changed to 0.44
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $1552.83changed to$1587.99

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 39.22 changed to 40.10
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $1576.40changed to$1552.83

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 39.72 changed to 39.22

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $1568.56changed to$1576.40

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $1532.87changed to$1568.56

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 38.55 changed to 39.72
    • Malpractice RVU 0.65 changed to 0.45
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $1598.87changed to$1532.87

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 42.73 changed to 38.55
    • Malpractice RVU 0.68 changed to 0.65
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $1598.87

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$2,380.86$191.10RVU26D
2026-07-01$2,380.86$191.10RVU26C
2026-04-01$2,380.86$191.10RVU26B
2026-01-01$2,380.86$191.10RVU26A
2025-10-01$2,187.30$208.02RVU25D
2025-07-01$2,187.30$208.02RVU25C
2025-04-01$2,187.30$208.02RVU25B
2025-01-01$2,187.30$208.02RVU25A
2024-10-01$2,349.88$211.82RVU24D
2024-07-01$2,349.88$211.82RVU24C
2024-04-01$2,349.88$211.82RVU24B
2024-03-09$2,349.88$211.82RVU24AR
2024-01-01$2,311.52$208.36RVU24A
2023-10-01$2,429.41$212.17RVU23D
2023-07-01$2,429.41$212.17RVU23C
2023-04-01$2,429.41$212.17RVU23B
2023-01-01$2,429.41$212.17RVU23A
2022-10-01$2,557.61$213.73RVU22D
2022-07-01$2,557.61$213.73RVU22C
2022-04-01$2,557.61$213.73RVU22B
2022-01-01$2,557.61$213.73RVU22A
2021-10-01$2,470.30$215.51RVU21D
2021-07-01$2,470.30$215.51RVU21C
2021-04-01$2,470.30$215.51RVU21B
2021-01-01$2,470.30$215.51RVU21A
2020-10-01$2,146.58$222.29RVU20D
2020-07-01$2,146.58$222.29RVU20C
2020-04-01$2,146.58$222.29RVU20B
2020-01-01$2,146.58$222.29RVU20A
2019-10-01$1,890.51$224.06RVU19D
2019-07-01$1,890.51$224.06RVU19C
2019-04-01$1,890.51$224.06RVU19B
2019-01-01$1,890.51$224.06RVU19A
2018-10-01$1,620.74$225.04RVU18D
2018-07-01$1,620.74$225.04RVU18C
2018-04-01$1,620.74$225.04RVU18B
2018-01-01$1,620.74$225.04RVU18AR1
2017-10-01$1,587.99$223.51RVU17D
2017-07-01$1,587.99$223.51RVU17C
2017-04-01$1,587.99$223.51RVU17B
2017-01-01$1,587.99$223.51RVU17A
2016-10-01$1,552.83$223.42RVU16D
2016-07-01$1,552.83$223.42RVU16C
2016-04-01$1,552.83$223.42RVU16B
2016-01-01$1,552.83$223.42RVU16A
2015-10-01$1,576.40$222.79RVU15D
2015-07-01$1,576.40$222.79RVU15C
2015-04-01$1,568.56$221.68RVU15B
2015-01-01$1,568.56$221.68RVU15A
2014-10-01$1,532.87$226.06RVU14D
2014-07-01$1,532.87$226.06RVU14C
2014-04-01$1,532.87$226.06RVU14B
2014-01-01$1,532.87$226.06RVU14A
2013-10-01$1,598.87$220.26RVU13D
2013-07-01$1,598.87$220.26RVU13C
2013-04-01$1,598.87$220.26RVU13B
2013-01-01$1,598.87$220.26RVU13AR

Price 53860 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

53860 billing questions

How does this differ from 53852?

Both involve transurethral radiofrequency treatment of prostate tissue. Use the code that matches the specific procedure and technique documented; 53852 identifies radiofrequency thermotherapy.

Can this be reported with microwave or water-vapor treatment?

Those are distinct treatment methods, represented by 53850 for microwave thermotherapy and 53854 for radiofrequency-generated water-vapor thermotherapy. Select the code for the method actually performed.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.

Can modifier 50 be used?

No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this service.

When is an assistant-at-surgery payment allowed?

Only when medical necessity for the assistant is documented. Co-surgeons and team surgery are not permitted for this code.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full; other procedures in the same session 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
RVUs for 53860PPRRVU2026_Oct_nonQPP.csv, line 6,231 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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