CPT code 55815: Radical prostatectomy, perineal with bilateral node dissection2026 Medicare rate & RVUs in North Dakota

Reports radical prostate removal through a perineal approach with bilateral pelvic lymphadenectomy, including the specified pelvic nodal regions.

CMS RVU26DEffective Oct 1, 2026One payment locality

In North Dakota, Medicare pays $1,481.89 for 55815 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,481.89Hospital or facility

Check a contract rate as a % of Medicare · 55815 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 55815 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Dakota
  2. What 55815 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 55815 covers

This code describes radical removal of the prostate through an incision in the perineum, combined with lymph node dissection on both sides of the pelvis. The nodal work includes the external iliac, hypogastric, and obturator regions. A urologist typically performs the operation in a surgical setting for prostate cancer when this perineal approach and bilateral dissection are selected.

Choose this code when the operative report supports both the radical perineal prostatectomy and bilateral pelvic lymphadenectomy; perineal prostatectomy with only node biopsies is a different level of service. The code is priced as bilateral, so modifier 50 does not increase payment. It has a 90-day global period, including 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 others at 50%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation. 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 North Dakota compares for 55815

Across 109 of 109 payment localities, the facility rate for 55815 runs from $1,447.19 in Arkansas to $2,061.40 in Alaska. North Dakota pays $1,481.89. The RVUs are the same everywhere; the geographic indexes change the dollars.

55815 in North Dakota vs other payment areas
  1. North Dakota · this page$1,481.89
  2. Los Angeles, CA · California$1,626.03+$144.14
  3. Washington, DC area · District of Columbia$1,700.15+$218.26
  4. Miami, FL · Florida$1,789.21+$307.32
  5. Chicago, IL · Illinois$1,751.75+$269.86
  6. Manhattan, NY · New York$1,770.49+$288.60
  7. Alaska · Alaska$2,061.40+$579.51

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

Every other payment area

55815 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,459.87
ArkansasArkansas—$1,447.19
ArizonaArizona—$1,533.03
Bakersfield, CACalifornia—$1,564.14
Chico, CACalifornia—$1,551.93
El Centro, CACalifornia—$1,552.62
Fresno, CACalifornia—$1,551.93
Hanford, CACalifornia—$1,551.93

55815 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.

View every state and territory as a table
55815 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 55815 in every payment locality

How the 55815 rate is calculated

Each of 55815’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 · 55815

RVUs × geographic indexes × conversion factor

Office or facility?

Work32.13

32.13 RVUs× 1.000 GPCI

Practice expense10.56

10.56 RVUs× 1.000 GPCI

Malpractice4.13

4.13 RVUs× 1.000 GPCI

Adjusted RVUs

46.8200

Conversion factor

$33.4009

Medicare rate

$1,563.83

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

The exact North Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,377

Code
55815
Physician work
32.13
Practice expense
10.56
Malpractice
4.13

GPCI2026.csv

84

Locality
North Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.406
Facility calculation for 55815 in North Dakota
ComponentRVULocality factorAdjusted
Physician work32.13× 1.00032.1300
Practice expense10.56× 1.00010.5600
Malpractice4.13× 0.4061.6768
Total RVUs44.3668
Conversion factor× 33.4009

Facility rate, North Dakota$1481.89

Facility: (32.13 × 1 + 10.56 × 1 + 4.13 × 0.406) × $33.4009 = $1481.89

Open 55815 in the RVU calculator

Payment rules and modifiers for 55815

55815 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 55815

Radical prostatectomy, perineal with bilateral node dissection

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)2Already bilateral by definition: paid once at 100%.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 55815

Radical prostatectomy, perineal with bilateral node dissection

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

55815 without 51 · national facility

$1,563.83

Radical prostatectomy, perineal with bilateral node dissection

55815-51 · Second procedure: 50%

$781.92

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 55815 has changed in North Dakota

55815 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,481.89RVU26D
2026-07-01Not available in this setting$1,481.89RVU26C
2026-04-01Not available in this setting$1,481.89RVU26B
2026-01-01Not available in this setting$1,481.89RVU26A
2025-10-01Not available in this setting$1,637.63RVU25D
2025-07-01Not available in this setting$1,637.63RVU25C
2025-04-01Not available in this setting$1,637.63RVU25B
2025-01-01Not available in this setting$1,637.63RVU25A
2024-10-01Not available in this setting$1,673.64RVU24D
2024-07-01Not available in this setting$1,673.64RVU24C
2024-04-01Not available in this setting$1,673.64RVU24B
2024-03-09Not available in this setting$1,673.64RVU24AR
2024-01-01Not available in this setting$1,646.32RVU24A
2023-10-01Not available in this setting$1,681.92RVU23D
2023-07-01Not available in this setting$1,681.92RVU23C
2023-04-01Not available in this setting$1,681.92RVU23B
2023-01-01Not available in this setting$1,681.92RVU23A
2022-10-01Not available in this setting$1,699.84RVU22D
2022-07-01Not available in this setting$1,699.84RVU22C
2022-04-01Not available in this setting$1,699.84RVU22B
2022-01-01Not available in this setting$1,699.84RVU22A
2021-10-01Not available in this setting$1,712.83RVU21D
2021-07-01Not available in this setting$1,712.83RVU21C
2021-04-01Not available in this setting$1,712.83RVU21B
2021-01-01Not available in this setting$1,712.83RVU21A
2020-10-01Not available in this setting$1,767.43RVU20D
2020-07-01Not available in this setting$1,767.43RVU20C
2020-04-01Not available in this setting$1,767.43RVU20B
2020-01-01Not available in this setting$1,767.43RVU20A
2019-10-01Not available in this setting$1,778.93RVU19D
2019-07-01Not available in this setting$1,778.93RVU19C
2019-04-01Not available in this setting$1,775.62RVU19B
2019-01-01Not available in this setting$1,775.62RVU19A
2018-10-01Not available in this setting$1,780.52RVU18D
2018-07-01Not available in this setting$1,780.52RVU18C
2018-04-01Not available in this setting$1,780.52RVU18B
2018-01-01Not available in this setting$1,780.52RVU18AR1
2017-10-01Not available in this setting$1,778.19RVU17D
2017-07-01Not available in this setting$1,778.19RVU17C
2017-04-01Not available in this setting$1,778.19RVU17B
2017-01-01Not available in this setting$1,778.19RVU17A
2016-10-01Not available in this setting$1,762.55RVU16D
2016-07-01Not available in this setting$1,762.55RVU16C
2016-04-01Not available in this setting$1,762.55RVU16B
2016-01-01Not available in this setting$1,762.55RVU16A
2015-10-01Not available in this setting$1,760.66RVU15D
2015-07-01Not available in this setting$1,760.66RVU15C
2015-04-01Not available in this setting$1,751.90RVU15B
2015-01-01Not available in this setting$1,751.90RVU15A
2014-10-01Not available in this setting$1,741.71RVU14D
2014-07-01Not available in this setting$1,741.71RVU14C
2014-04-01Not available in this setting$1,741.71RVU14B
2014-01-01Not available in this setting$1,741.71RVU14A
2013-10-01Not available in this setting$1,677.14RVU13D
2013-07-01Not available in this setting$1,677.14RVU13C
2013-04-01Not available in this setting$1,677.14RVU13B
2013-01-01Not available in this setting$1,677.14RVU13AR

Price 55815 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Abercrombie
  • Adams
  • Alamo
  • Alexander
  • Alice
  • Almont
  • Alsen
  • Ambrose

Browse all communities in North Dakota

55815 billing questions

How does this differ from 55812?

55815 represents bilateral pelvic lymphadenectomy with radical perineal prostatectomy. 55812 is the perineal radical procedure with lymph node biopsies, rather than the bilateral dissection represented by 55815.

Can the pelvic lymphadenectomy be billed separately?

The bilateral pelvic lymphadenectomy is included in 55815. The operative report should support the bilateral dissection and the nodal regions addressed.

Should modifier 50 be appended?

The code is already priced as bilateral, and modifier 50 does not increase payment.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.

What happens when another procedure is performed in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related 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 55815PPRRVU2026_Oct_nonQPP.csv, line 6,377 (RVU26D)
Geographic factors for North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

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