CPT code 53866: Device removal, ischemic remodeling2026 Medicare rate & RVUs in Mississippi

Report cystoscopic removal of a temporary prostate remodeling device after treatment for urinary obstruction associated with benign prostatic enlargement.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Mississippi, Medicare pays $131.30 for 53866 in the office and $69.47 when it’s performed in a hospital or facility.

$131.30Office (non-facility)
$69.47Hospital or facility
−9.8%vs the national office rate ($145.63)

Check a contract rate as a % of Medicare · 53866 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 53866 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 53866 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 53866 covers

A urologist uses cystoscopy to retrieve the temporary device previously placed to remodel the prostatic urethra through ischemic effects. The treatment is used for urinary symptoms associated with benign prostatic enlargement; this code describes the removal service, not initial device placement. Removal is generally performed in an outpatient setting after the device has served its intended remodeling purpose.

Report the removal code for the cystoscopic retrieval, supported by documentation identifying the device and recording its removal. Code 53865 describes placement of the device. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed 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. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing 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 Mississippi compares for 53866

Across 109 of 109 payment localities, the office rate for 53866 runs from $129.69 in Arkansas to $188.28 in San Benito County, CA. Mississippi pays $131.30. The RVUs are the same everywhere; the geographic indexes change the dollars.

53866 in Mississippi vs other payment areas
  1. Mississippi · this page$131.30
  2. Los Angeles, CA · California$162.15+$30.85
  3. Washington, DC area · District of Columbia$165.17+$33.87
  4. Miami, FL · Florida$159.07+$27.77
  5. Chicago, IL · Illinois$154.64+$23.34
  6. Manhattan, NY · New York$167.20+$35.90
  7. Alaska · Alaska$172.75+$41.45

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

Every other payment area

53866 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$131.48$68.64
ArkansasArkansas$129.69$68.01
ArizonaArizona$141.89$72.30
Bakersfield, CACalifornia$152.81$74.11
Chico, CACalifornia$152.25$73.55
El Centro, CACalifornia$152.29$73.58
Fresno, CACalifornia$152.25$73.55
Hanford, CACalifornia$152.25$73.55

53866 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.

$129.69

$172.75

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

View every state and territory as a table
53866 office rate range by state
State / territoryOffice rate rangeLocalities
AK$172.751
AL$131.481
AR$129.691
AZ$141.891
CA$152.25–$188.2829
CO$150.651
CT$154.941
DC$165.171
DE$144.131
FL$144.81–$159.073
GA$137.00–$148.512
GU$155.451
HI$155.451
IA$134.051
ID$134.991
IL$141.27–$154.644
IN$135.711
KS$133.731
KY$134.971
LA$134.88–$141.112
MA$149.94–$164.592
MD$146.68–$165.173
ME$135.93–$142.472
MI$138.51–$146.792
MN$143.801
MO$132.88–$141.263
MS$131.301
MT$145.621
NC$137.231
ND$141.861
NE$134.661
NH$148.571
NJ$156.56–$163.682
NM$139.341
NV$144.661
NY$139.18–$171.385
OH$137.751
OK$134.461
OR$143.38–$154.892
PA$137.80–$151.462
PR$146.541
RI$148.871
SC$137.751
SD$141.411
TN$134.391
TX$136.97–$150.298
UT$139.511
VA$142.21–$165.172
VI$146.541
VT$141.581
WA$149.57–$167.572
WI$137.411
WV$136.421
WY$143.981

See 53866 in every payment locality

How the 53866 rate is calculated

Each of 53866’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 · 53866

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.44

1.44 RVUs× 1.000 GPCI

Practice expense2.73

2.73 RVUs× 1.000 GPCI

Malpractice0.19

0.19 RVUs× 1.000 GPCI

Adjusted RVUs

4.3600

Conversion factor

$33.4009

Medicare rate

$145.63

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

The exact Mississippi inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,233

Code
53866
Physician work
1.44
Practice expense
2.73
Malpractice
0.19

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Office calculation for 53866 in Mississippi
ComponentRVULocality factorAdjusted
Physician work1.44× 1.0001.4400
Practice expense2.73× 0.8612.3505
Malpractice0.19× 0.7390.1404
Total RVUs3.9309
Conversion factor× 33.4009

Office rate, Mississippi$131.30

Office: (1.44 × 1 + 2.73 × 0.861 + 0.19 × 0.739) × $33.4009 = $131.30

Facility: (1.44 × 1 + 0.58 × 0.861 + 0.19 × 0.739) × $33.4009 = $69.47

Open 53866 in the RVU calculator

Payment rules and modifiers for 53866

The CMS indicators that decide how 53866 is paid alongside other services.

CMS payment indicators · 53866

Device removal, ischemic remodeling

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is 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)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

53866 without 51 · national office

$145.63

Device removal, ischemic remodeling

53866-51 · Second procedure: 50%

$72.82

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

How 53866 has changed in Mississippi

53866 · Office / nonfacility

$131.30

Effective 2026-10-01

The base rate is $8.13 higher than on 2025-10-01, moving from $123.17 to $131.30 (6.6%).

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

    $123.17changed to$131.30

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.48 changed to 1.44
    • Practice expense RVU 2.57 changed to 2.73
    • Malpractice RVU 0.18 changed to 0.19
    • Practice expense GPCI 0.852 changed to 0.861
    • Malpractice GPCI 0.768 changed to 0.739

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    No ratechanged to$123.17

    Held through RVU25B, RVU25C, RVU25D.

  3. 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, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$131.30$69.47RVU26D
2026-07-01$131.30$69.47RVU26C
2026-04-01$131.30$69.47RVU26B
2026-01-01$131.30$69.47RVU26A
2025-10-01$123.17$74.39RVU25D
2025-07-01$123.17$74.39RVU25C
2025-04-01$123.17$74.39RVU25B
2025-01-01$123.17$74.39RVU25A
2024-10-01Not in this releaseNot in this releaseRVU24D
2024-07-01Not in this releaseNot in this releaseRVU24C
2024-04-01Not in this releaseNot in this releaseRVU24B
2024-03-09Not in this releaseNot in this releaseRVU24AR
2024-01-01Not in this releaseNot in this releaseRVU24A
2023-10-01Not in this releaseNot in this releaseRVU23D
2023-07-01Not in this releaseNot in this releaseRVU23C
2023-04-01Not in this releaseNot in this releaseRVU23B
2023-01-01Not in this releaseNot in this releaseRVU23A
2022-10-01Not in this releaseNot in this releaseRVU22D
2022-07-01Not in this releaseNot in this releaseRVU22C
2022-04-01Not in this releaseNot in this releaseRVU22B
2022-01-01Not in this releaseNot in this releaseRVU22A
2021-10-01Not in this releaseNot in this releaseRVU21D
2021-07-01Not in this releaseNot in this releaseRVU21C
2021-04-01Not in this releaseNot in this releaseRVU21B
2021-01-01Not in this releaseNot in this releaseRVU21A
2020-10-01Not in this releaseNot in this releaseRVU20D
2020-07-01Not in this releaseNot in this releaseRVU20C
2020-04-01Not in this releaseNot in this releaseRVU20B
2020-01-01Not in this releaseNot in this releaseRVU20A
2019-10-01Not in this releaseNot in this releaseRVU19D
2019-07-01Not in this releaseNot in this releaseRVU19C
2019-04-01Not in this releaseNot in this releaseRVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 53866 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

53866 billing questions

How does this code differ from 53865?

53866 is for cystoscopic retrieval of the prostate remodeling device. 53865 describes its placement.

Can the removal be reported with another procedure on the same date?

When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple-procedure reduction.

Should modifier 50 be used?

No. CMS identifies bilateral adjustment as inappropriate for this code.

Can an assistant surgeon 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 documentation supports the removal service?

Document the temporary remodeling device and its cystoscopic retrieval. The record should distinguish removal from the device's initial placement.

What care is included in the global period?

The 0-day global period includes same-day preoperative and postoperative care.

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 53866PPRRVU2026_Oct_nonQPP.csv, line 6,233 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 53866 pays in Mississippi?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 53866 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet