CPT code 55812: Radical prostatectomy, perineal with bilateral lymphadenectomy2026 Medicare rate & RVUs in South Carolina

In South Carolina, Medicare pays $1,386.54 for 55812 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 55812 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 55812 covers

This code describes radical prostate removal through an incision in the perineum, together with removal of lymph nodes from both sides of the pelvis. Urologists typically perform the operation in a hospital operating room for prostate cancer. The operative report should establish the perineal approach and document the bilateral lymphadenectomy performed as part of the surgical service.

Choose this code when both the perineal radical prostatectomy and bilateral pelvic lymphadenectomy are performed; a perineal radical prostatectomy without lymphadenectomy is a different code. The lymphadenectomy is included in this combined service, rather than separately reported as a second service for the same work. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this operation. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is 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 Carolina compares for 55812

Across 109 of 109 payment localities, the facility rate for 55812 runs from $1,323.00 in Arkansas to $1,882.55 in Alaska. South Carolina pays $1,386.54. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

55812 rates by state

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

See 55812 in every payment locality

How the 55812 rate is calculated

Each of 55812’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 55812

55812 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 55812

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

How 55812 has changed in South Carolina

Price 55812 for an earlier date of service

Where the South Carolina rate applies

South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.

• Abbeville
• Abney Crossroads
• Adams Run
• Aiken
• Alcolu
• Allendale
• Anderson
• Andrews

Browse all communities in South Carolina

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